MISSOURI RIVER CENTER
NPI 1063459501
Skilled Nursing Facility in Great Falls, MT

Active since June 01, 2006
1130 17TH AVE S, GREAT FALLS, MT 59405(406) 771-4500 Get Directions Write a Review

NPPES record last updated: May 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 17, 2016, May 12, 2016, Jan 14, 2016 (3 updates tracked since 2016).

About Missouri River Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISSOURI RIVER CENTER (NPI 1063459501) is a healthcare organization registered as a skilled nursing facility in Great Falls, Montana and active in the NPI registry since June 2006. The organization lists Michael T. Berg, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1063459501
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business Name1130 SEVENTEENTH AVENUE OPERATIONS LLC
Location Address1130 17TH AVE SGreat Falls, MT 59405-4523
Mailing Address1130 17th Ave SGreat Falls, MT 59405-4523 · (406) 771-4500
Organization SubpartNo
Authorized OfficialMichael T. BergAssistant Secretary · (505) 468-4752
Enumeration DateJune 1, 2006
Last NPPES UpdateMay 17, 20163 updates tracked since enumeration
NPI 1063459501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MT · 12680
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
1130 17TH AVE S, Great Falls, MT 59405

Other Names 1

Doing Business AsMissouri River Center

Other Identifiers 6

Medicaid0534548MT
Medicare OSCAR/certification275026MT
Medicaid3400969MT
Medicaid3400982MT
Medicaid310301MT
Other41502MT · Bc/bs

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
1130 17TH AVE S
GREAT FALLS, MT 59405
Skilled Nursing Facility
1130 17TH AVE S
GREAT FALLS, MT 59405
Occupational Therapy Assistant
1130 17TH AVE S
GREAT FALLS, MT 59405
Physical Therapy Assistant
1130 17TH AVE S
GREAT FALLS, MT 59405
Physical Therapy Assistant
1130 17TH AVE S
GREAT FALLS, MT 59405
Occupational Therapy Assistant
1130 17TH AVE S
GREAT FALLS, MT 59405
Speech-Language Pathologist
1130 17TH AVE S
GREAT FALLS, MT 59405
Occupational Therapist
1130 17TH AVE S
GREAT FALLS, MT 59405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 1130 Seventeenth Avenue Operations LLC's NPI number?

The NPI number for 1130 Seventeenth Avenue Operations LLC is 1063459501. It was assigned to this organization in the NPPES registry on June 1, 2006. The provider is doing business as Missouri River Center.

Where is 1130 Seventeenth Avenue Operations LLC located?

1130 Seventeenth Avenue Operations LLC is located at 1130 17th Ave S, Great Falls, MT 59405. The listed phone number is (406) 771-4500.

What is 1130 Seventeenth Avenue Operations LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for 1130 Seventeenth Avenue Operations LLC was last updated on May 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.