Mary Ann Hansen
Individual provider Active NPI In Home Supportive Care Agency · Bigfork, MT
NPI 1639725393 · NPPES record last updated Aug 16, 2019
Key facts
- NPI
- 1639725393
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Practice address
- 42095 Mt Highway 83
Bigfork, MT 59911-7838 - Phone
- (406) 754-2458
- NPI assigned
- Aug 16, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
42095 Mt Highway 83
Bigfork, MT 59911-7838
Mailing address
42095 Mt Highway 83
Bigfork, MT 59911-7838
Phone (406) 754-2458
Other names
- Mary Ann Stahley
Other providers in Bigfork, MT
- Flathead Physical Therapy, Inc. P.C.
- Lawrence Bruce Godwin
- Megan Goudie
- Maggie Graham
- Alicia Lyn Grimes
- Frank Davis Harper
- Angela Harris
- Michelle Hellwig
- Lynn Ann Holton
- Jacqueline Eaton
All providers in Bigfork, MT · In Home Supportive Care Agency in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.