Basic Information
| Provider Information | |||||||||
| NPI: | 1215971486 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | BARRETT HOSPITAL DEVELOPMENT CORPORATION | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | BARRETT HOME CARE SERVICES | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 600 MT HWY 91 SOUTH | ||||||||
| Address2: | |||||||||
| City: | DILLON | ||||||||
| State: | MT | ||||||||
| PostalCode: | 597253597 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4066833000 | ||||||||
| FaxNumber: | 4066833206 | ||||||||
| Practice Location | |||||||||
| Address1: | 600 MT HWY 91 SOUTH | ||||||||
| Address2: | |||||||||
| City: | DILLON | ||||||||
| State: | MT | ||||||||
| PostalCode: | 597253597 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4066833000 | ||||||||
| FaxNumber: | 4066833206 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/16/2006 | ||||||||
| LastUpdateDate: | 07/07/2016 | ||||||||
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| AuthorizedOfficialLastName: | ACHTER | ||||||||
| AuthorizedOfficialFirstName: | RICHARD | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | CHIEF FINANCIAL OFFICER | ||||||||
| AuthorizedOfficialTelephone: | 4066833003 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | 9597 | MT | Y | Agencies | Home Health |
No ID Information.