Provider Demographics
NPI:1477583011
Name:BENEFIS COMMUNITY CARE, INC.
Entity Type:Organization
Organization Name:BENEFIS COMMUNITY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:FORREST
Authorized Official - Middle Name:
Authorized Official - Last Name:EHLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-455-5479
Mailing Address - Street 1:1411 9TH ST SO
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59405-4503
Mailing Address - Country:US
Mailing Address - Phone:406-771-6400
Mailing Address - Fax:406-771-6445
Practice Address - Street 1:1411 9TH ST S
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59405-4507
Practice Address - Country:US
Practice Address - Phone:406-771-6400
Practice Address - Fax:406-771-6445
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BENEFIS HEALTH SYSTEM, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-03
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0565396Medicaid
MT0203550001Medicare ID - Type Unspecified