NPI 1700495496 · live from the CMS NPI Registry
Clancy Nursing And Rehab Center LLC
Skilled Nursing Facility in Clancy, MT. National Provider Identifier 1700495496, active.
NPI record
| NPI | 1700495496 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 474 Highway 282, Clancy, MT 59634 |
| Practice phone | 801-601-1450 |
| Mailing address | 1376 E 3300 S, Salt Lake City, UT 84106 |
| Enumerated | July 28, 2020 |
| Last updated | October 23, 2024 |
| Authorized official | Dustin Monroe, General Counsel |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | — |
| Occupational Therapist | 225X00000X | — |
| Speech-Language Pathologist, | 235Z00000X | — |
| Clinic/Center | 261Q00000X | — |
| Clinic/Center, Hearing and Speech | 261QH0700X | — |
| Clinic/Center, Physical Therapy | 261QP2000X | — |
| Clinic/Center, Occupational Medicine | 261QX0100X | — |
| Skilled Nursing Facility primary | 314000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.