Provider Demographics
NPI:1164049623
Name:MONTANA MASTER BUILDERS LTD. CO.
Entity Type:Organization
Organization Name:MONTANA MASTER BUILDERS LTD. CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROSS
Authorized Official - Middle Name:C
Authorized Official - Last Name:EBERLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:CAPS
Authorized Official - Phone:406-381-8928
Mailing Address - Street 1:PO BOX 803
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:MT
Mailing Address - Zip Code:59840-0803
Mailing Address - Country:US
Mailing Address - Phone:406-381-8928
Mailing Address - Fax:
Practice Address - Street 1:1487 IRON CAP DR
Practice Address - Street 2:
Practice Address - City:STEVENSVILLE
Practice Address - State:MT
Practice Address - Zip Code:59870-6640
Practice Address - Country:US
Practice Address - Phone:406-381-8928
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-01
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty