Provider Demographics
NPI:1841645660
Name:ACTION FOR EASTERN MONTANA
Entity type:Organization
Organization Name:ACTION FOR EASTERN MONTANA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VD-HCBS SERVICE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGIE
Authorized Official - Middle Name:K
Authorized Official - Last Name:LOHRKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-939-5665
Mailing Address - Street 1:11 S 7TH ST STE 140
Mailing Address - Street 2:
Mailing Address - City:MILES CITY
Mailing Address - State:MT
Mailing Address - Zip Code:59301-3241
Mailing Address - Country:US
Mailing Address - Phone:406-939-5665
Mailing Address - Fax:406-234-0448
Practice Address - Street 1:11 S 7TH ST STE 140
Practice Address - Street 2:
Practice Address - City:MILES CITY
Practice Address - State:MT
Practice Address - Zip Code:59301-3241
Practice Address - Country:US
Practice Address - Phone:406-939-5665
Practice Address - Fax:406-234-0448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-29
Last Update Date:2016-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management