Provider Demographics
NPI:1184099095
Name:ADAMS KELLER CORPORATION
Entity type:Organization
Organization Name:ADAMS KELLER CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:KELLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-702-1148
Mailing Address - Street 1:1216 16TH ST W STE 30
Mailing Address - Street 2:ALPINE VILLAGE
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-4100
Mailing Address - Country:US
Mailing Address - Phone:406-702-1148
Mailing Address - Fax:
Practice Address - Street 1:1216 16TH ST W STE 30
Practice Address - Street 2:ALPINE VILLAGE
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-4100
Practice Address - Country:US
Practice Address - Phone:406-702-1148
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-02
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTOL-16-32842332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies