Provider Demographics
NPI:1518120831
Name:HEARTHSTONE, INC.
Entity Type:Organization
Organization Name:HEARTHSTONE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:EVELAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-563-5232
Mailing Address - Street 1:400 OAK ST
Mailing Address - Street 2:
Mailing Address - City:ANACONDA
Mailing Address - State:MT
Mailing Address - Zip Code:59711-3059
Mailing Address - Country:US
Mailing Address - Phone:406-563-5232
Mailing Address - Fax:
Practice Address - Street 1:400 OAK ST
Practice Address - Street 2:
Practice Address - City:ANACONDA
Practice Address - State:MT
Practice Address - Zip Code:59711-3059
Practice Address - Country:US
Practice Address - Phone:406-563-5232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-07
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable