Active NPI
Hillside Health Care Center, LLC
- Long Term Care Pharmacy
- Missoula, MT
National Provider Identifier
1265597207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 755
- Legal business name
- HILLSIDE HEALTH CARE CENTER, LLC
- Practice address
- 4720 23Rd Ave
Missoula, MT 59803-1137 - Phone
- (406) 251-5100
- Fax
- (406) 251-4278
- NPI assigned
- Dec 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James A. Weichert
- Title
- Authorized Official
- Phone
- (952) 361-8000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | 755 | MT | Primary |
Addresses
Primary practice location
4720 23Rd Ave
Missoula, MT 59803-1137
Mailing address
1107 Hazeltine Blvd Ste 200
Chaska, MN 55318-1070
Phone (952) 361-8000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 217598 | Medicaid | MT | |
| 2703785 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
National Provider Directory
National Provider Directory- Tax ID family
- Hillside Health Care Center LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Missoula, MT
- NPI 1609811306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1508112000000",
"number": "1265597207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 HAZELTINE BLVD STE 200",
"city": "CHASKA",
"state": "MN",
"postal_code": "553181070",
"telephone_number": "952-361-8000",
"fax_number": "952-361-8060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4720 23RD AVE",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598031137",
"telephone_number": "406-251-5100",
"fax_number": "406-251-4278"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HILLSIDE HEALTH CARE CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-27",
"last_updated": "2017-10-16",
"status": "A",
"authorized_official_last_name": "WEICHERT",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "952-361-8000"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "MT",
"license": "755",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "217598",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "2703785",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.