Provider Demographics
NPI:1043421902
Name:WEST MONT
Entity Type:Organization
Organization Name:WEST MONT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKULA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-447-3100
Mailing Address - Street 1:2708 BOZEMAN AVENUE
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-6405
Mailing Address - Country:US
Mailing Address - Phone:406-447-3100
Mailing Address - Fax:406-447-3148
Practice Address - Street 1:2708 BOZEMAN AVE
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-6405
Practice Address - Country:US
Practice Address - Phone:406-447-3100
Practice Address - Fax:406-447-3148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home