NPIMap

Organization Active NPI

Fountain View Care Center

  • Assisted Living Facility
  • Forsyth, MT
National Provider Identifier
1801074372
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
11406 Issued in MT
Legal business name
FOUNTAIN VIEW CARE CENTER
Practice address
200 Vine Street
Forsyth, MT 59327
Phone
(406) 346-2008
NPI assigned
Feb 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Denise Jean Clarkl
Title
Owner/Administrator
Phone
(406) 346-2008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 11406 MT Primary

Addresses

Primary practice location

200 Vine Street
Forsyth, MT 59327

Mailing address

200 Vine Street
PO Box 349
Forsyth, MT 59327
Phone (406) 346-2008

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1801074372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 VINE STREET",
            "address_2": "PO BOX 349",
            "city": "FORSYTH",
            "state": "MT",
            "postal_code": "59327",
            "telephone_number": "406-346-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 VINE STREET",
            "city": "FORSYTH",
            "state": "MT",
            "postal_code": "59327",
            "telephone_number": "406-346-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN VIEW CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "CLARKL",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "406-346-2008"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MT",
            "license": "11406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forsyth, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.