Provider Demographics
NPI:1598314890
Name:GREVER-HOOVER, KARL
Entity Type:Individual
Prefix:
First Name:KARL
Middle Name:
Last Name:GREVER-HOOVER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 221
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:MT
Mailing Address - Zip Code:59840-0221
Mailing Address - Country:US
Mailing Address - Phone:406-360-2409
Mailing Address - Fax:
Practice Address - Street 1:987 LOWER MILL CREEK RD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:MT
Practice Address - Zip Code:59840-9452
Practice Address - Country:US
Practice Address - Phone:406-961-4347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-09
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide