Provider Demographics
NPI:1225726326
Name:BSMC OF MONTANALLC
Entity type:Organization
Organization Name:BSMC OF MONTANALLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MATT
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-604-0595
Mailing Address - Street 1:PO BOX 1049
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59403-1049
Mailing Address - Country:US
Mailing Address - Phone:406-750-6472
Mailing Address - Fax:
Practice Address - Street 1:2509 7TH AVE S STE D2
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59405-3031
Practice Address - Country:US
Practice Address - Phone:406-403-7223
Practice Address - Fax:406-391-7131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-26
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies