Evergreen at Butte, L.L.C.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

9622 Issued in MT

Legal business name

EVERGREEN AT BUTTE, L.L.C.

Doing business as

Evergreen Butte Health and REhabilitation Center

Practice address

3251 Nettie St
Butte, MT 59701-6531

Phone

(406) 723-3225

Fax

(406) 723-6470

NPI assigned

May 5, 2006

Organization subpart

Yes

Parent organization

EVERGREEN MONTANA HEALTHCARE, L.L.C.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andrew V Martini

Title

Manager

Phone

(360) 892-6628

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Evergreen Butte Health and REhabilitation Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1013965318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 NE 77TH AVE",
            "address_2": "SUITE 300",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626729",
            "telephone_number": "360-892-6628",
            "fax_number": "360-882-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 NETTIE ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597016531",
            "telephone_number": "406-723-3225",
            "fax_number": "406-723-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN AT BUTTE, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EVERGREEN MONTANA HEALTHCARE, L.L.C.",
        "enumeration_date": "2006-05-05",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "MARTINI",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "360-892-6628"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MT",
            "license": "9622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310080",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Butte Health and REhabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Butte, MT
• Providers in Butte, MT by specialty
• Skilled Nursing Facility in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.