Provider Demographics
NPI:1831199314
Name:AMERICAN LUTHERAN CHURCH VALLEY VIEW HOME
Entity type:Organization
Organization Name:AMERICAN LUTHERAN CHURCH VALLEY VIEW HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:W
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:NAB
Authorized Official - Phone:406-228-2461
Mailing Address - Street 1:1225 PERRY LN
Mailing Address - Street 2:
Mailing Address - City:GLASGOW
Mailing Address - State:MT
Mailing Address - Zip Code:59230-1532
Mailing Address - Country:US
Mailing Address - Phone:406-228-2461
Mailing Address - Fax:406-228-4831
Practice Address - Street 1:1225 PERRY LN
Practice Address - Street 2:
Practice Address - City:GLASGOW
Practice Address - State:MT
Practice Address - Zip Code:59230-1532
Practice Address - Country:US
Practice Address - Phone:406-228-2461
Practice Address - Fax:406-228-4831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-27
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT9958310400000X, 313M00000X
MT9921261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0312572Medicaid
MT0312572Medicaid