Organization Active NPI

The Pines of Polson, Inc

  • Assisted Living Facility
  • Polson, MT
National Provider Identifier
1750684817
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
12475 Issued in MT
Legal business name
THE PINES OF POLSON, INC
Practice address
405 6TH Ave W
Polson, MT 59860-2650
Phone
(406) 560-5786
NPI assigned
Dec 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Authorized official

Name
Ilene S. Arbaugh
Title
Owner/Administrator
Phone
(406) 560-5786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 12475 MT Primary

Addresses

Primary practice location

405 6TH Ave W
Polson, MT 59860-2650

Mailing address

405 6TH Ave W
Polson, MT 59860-2650
Phone (406) 560-5786

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1750684817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 6TH AVE W",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598602650",
            "telephone_number": "406-560-5786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 6TH AVE W",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598602650",
            "telephone_number": "406-560-5786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PINES OF POLSON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "ARBAUGH",
        "authorized_official_first_name": "ILENE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "406-560-5786"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MT",
            "license": "12475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Polson, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.