Provider Demographics
NPI:1578685202
Name:AREA V AGENCY ON AGING
Entity Type:Organization
Organization Name:AREA V AGENCY ON AGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:GILBOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-782-5555
Mailing Address - Street 1:305 W MERCURY ST # 307
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-1659
Mailing Address - Country:US
Mailing Address - Phone:406-782-5555
Mailing Address - Fax:406-782-5662
Practice Address - Street 1:305 W MERCURY ST # 307
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-1659
Practice Address - Country:US
Practice Address - Phone:406-782-5555
Practice Address - Fax:406-782-5662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management