Organization · NPI-2

Evergreen At Butte, L.L.C.

Skilled Nursing Facility · Butte, MT

NPI number1013965318
StatusActive
Last updated in NPPESAug 30, 2007

Details

NPI
1013965318
Entity type
Organization (NPI-2)
Legal business name
Evergreen At Butte, L.L.C.
Organization subpart
Yes
Enumeration date
May 5, 2006
Last updated
Aug 30, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility9622MTYes

Other names

  • Evergreen Butte Health And Rehabilitation Center (Doing Business As)

Practice location

3251 Nettie St
Butte, MT 59701-6531

Phone 406-723-3225 · Fax 406-723-6470

Mailing address

4601 Ne 77th Ave
Suite 300
Vancouver, WA 98662-6729

Phone 360-892-6628 · Fax 360-882-5793

Authorized official

Andrew V Martini
Manager
3608926628

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Skilled Nursing Facility providers in Butte, MT