Provider Demographics
NPI:1235295528
Name:ASPEN HOSPICE OF MONTANA INC.
Entity Type:Organization
Organization Name:ASPEN HOSPICE OF MONTANA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMINISTRATOR CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:SANGSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-777-5009
Mailing Address - Street 1:3972 US HIGHWAY 93 N
Mailing Address - Street 2:SUITE D
Mailing Address - City:STEVENSVILLE
Mailing Address - State:MT
Mailing Address - Zip Code:59870-6494
Mailing Address - Country:US
Mailing Address - Phone:406-777-5009
Mailing Address - Fax:406-777-0644
Practice Address - Street 1:3972 US HIGHWAY 93 N
Practice Address - Street 2:SUITE D
Practice Address - City:STEVENSVILLE
Practice Address - State:MT
Practice Address - Zip Code:59870-6494
Practice Address - Country:US
Practice Address - Phone:406-777-5009
Practice Address - Fax:406-777-0644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT10158251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0750230Medicaid
MT271527Medicare ID - Type UnspecifiedHOSPICE