Provider Demographics
NPI:1811238603
Name:MICHAEL HAGMAN LLC
Entity Type:Organization
Organization Name:MICHAEL HAGMAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:HAGMAN
Authorized Official - Suffix:
Authorized Official - Credentials:BSN RN
Authorized Official - Phone:406-438-2231
Mailing Address - Street 1:2300 N HARRIS ST
Mailing Address - Street 2:BOX 7661
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59604-7035
Mailing Address - Country:US
Mailing Address - Phone:406-438-2231
Mailing Address - Fax:406-422-0756
Practice Address - Street 1:3703 TRAVERTINE WAY
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59602-7411
Practice Address - Country:US
Practice Address - Phone:406-438-2231
Practice Address - Fax:406-422-0756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-05
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies