Provider Demographics
NPI:1194746883
Name:BENEFIS COMMUNITY CARE, INC.
Entity type:Organization
Organization Name:BENEFIS COMMUNITY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:FORREST
Authorized Official - Middle Name:
Authorized Official - Last Name:EHLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-455-5479
Mailing Address - Street 1:1411 9TH ST S
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59405-4503
Mailing Address - Country:US
Mailing Address - Phone:406-771-6400
Mailing Address - Fax:406-771-6450
Practice Address - Street 1:245 E PARK ST LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-1829
Practice Address - Country:US
Practice Address - Phone:406-723-7987
Practice Address - Fax:406-723-4120
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BENEFIS HEALTH SYSTEM, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-21
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0690115Medicaid