Provider Demographics
NPI:1245563733
Name:PASSMORE INC
Entity Type:Organization
Organization Name:PASSMORE INC
Other - Org Name:MONTANA MOBILE REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:S
Authorized Official - Last Name:PASSMORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-224-1446
Mailing Address - Street 1:298 PARKLANDS TRL
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-9375
Mailing Address - Country:US
Mailing Address - Phone:406-224-1446
Mailing Address - Fax:406-219-0028
Practice Address - Street 1:298 PARKLANDS TRL
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-9375
Practice Address - Country:US
Practice Address - Phone:406-224-1446
Practice Address - Fax:406-219-0028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-15
Last Update Date:2019-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCD068ZMedicare UPIN