Provider Demographics
NPI:1952812026
Name:BENEFIS HOSPITALS INC
Entity Type:Organization
Organization Name:BENEFIS HOSPITALS INC
Other - Org Name:BENEFIS HOSPITALS HOME INFUSION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER, BENEFIS HO
Authorized Official - Prefix:
Authorized Official - First Name:FORREST
Authorized Official - Middle Name:G
Authorized Official - Last Name:EHLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-455-5454
Mailing Address - Street 1:PO BOX 5005
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59403-5005
Mailing Address - Country:US
Mailing Address - Phone:406-455-2185
Mailing Address - Fax:
Practice Address - Street 1:500 15TH AVE S STE 2
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59405-4324
Practice Address - Country:US
Practice Address - Phone:406-455-2185
Practice Address - Fax:406-455-2179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-17
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251F00000X, 332B00000X, 333600000X, 3336H0001X
MTPHA-PHR-LIC-1325332BP3500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No333600000XSuppliersPharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0571251Medicaid
MT0573461Medicaid
MT0574124Medicaid
MT0573461Medicaid