Provider Demographics
NPI:1033154844
Name:MADISON COUNTY FINANCE
Entity Type:Organization
Organization Name:MADISON COUNTY FINANCE
Other - Org Name:MADISON VALLEY MANOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF ADMINISTRATIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ONEILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-843-4201
Mailing Address - Street 1:PO BOX 335
Mailing Address - Street 2:
Mailing Address - City:ENNIS
Mailing Address - State:MT
Mailing Address - Zip Code:59729-0335
Mailing Address - Country:US
Mailing Address - Phone:406-682-7271
Mailing Address - Fax:406-682-5486
Practice Address - Street 1:211 N MAIN STREET
Practice Address - Street 2:
Practice Address - City:ENNIS
Practice Address - State:MT
Practice Address - Zip Code:59729-0335
Practice Address - Country:US
Practice Address - Phone:406-682-7271
Practice Address - Fax:406-682-5486
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MADISON COUNTY FINANCE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-17
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT10251314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
275136Medicare Oscar/Certification