- Enrollment id
- O20070630000055
- Enrollment state
- MT
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1790898112
- Multiple npi flag
- N
- Ccn
- 277040
- Associate id
- 5395639793
- Organization name
- CENTRAL MONTANA MEDICAL FACILITIES INC
- Doing business as name
- CENTRAL MONTANA MEDICAL CENTER HOME HEALTH AGENCY
- Incorporation date
- 1969-06-20
- Incorporation state
- MT
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 408 WENDELL AVE
- City
- LEWISTOWN
- State
- MT
- Zip code
- 594572261