Provider Demographics
NPI:1174945406
Name:HEALTH CARE PROVIDERS-LTC
Entity type:Organization
Organization Name:HEALTH CARE PROVIDERS-LTC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CPHT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:JESSOP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-363-6203
Mailing Address - Street 1:1900 N 1ST ST STE B
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:MT
Mailing Address - Zip Code:59840-3115
Mailing Address - Country:US
Mailing Address - Phone:406-363-6203
Mailing Address - Fax:406-363-7583
Practice Address - Street 1:1900 N 1ST ST
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:MT
Practice Address - Zip Code:59840-3115
Practice Address - Country:US
Practice Address - Phone:406-363-6203
Practice Address - Fax:406-363-7583
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTH CARE PROVIDERS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-01-06
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT208863336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy