POLSON HEALTH AND REHABILITATION CENTER
NPI 1093763419
Skilled Nursing Facility in Polson, MT

Active since May 05, 2006CLIA 27D0677491 · Waiver
9 14TH AVE W, POLSON, MT 59860(406) 883-4378(406) 883-3388 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 11, 2021, Jun 13, 2017, Jan 30, 2017 (3 updates tracked since 2017).

About Polson Health And Rehabilitation Center NPPES

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

POLSON HEALTH AND REHABILITATION CENTER (NPI 1093763419) is a healthcare organization registered as a skilled nursing facility in Polson, Montana and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Brent Weil, Ceo And Manager, as its authorized official.

NPPES Registry Identity

NPI1093763419
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEVERGREEN AT POLSON, L.L.C.
Location Address9 14TH AVE WPolson, MT 59860-5321
Mailing Address4601 Ne 77th Ave, Suite 300Vancouver, WA 98662-6736 · (360) 892-6628 · Fax (360) 882-5793
Fax(406) 883-3388
Organization SubpartYesParent: Empres Montana Healthcare, Llc
Authorized OfficialBrent WeilCeo And Manager · (360) 892-6628
Enumeration DateMay 5, 2006
Last NPPES UpdateMarch 11, 20213 updates tracked since enumeration
NPPES CertifiedMarch 11, 2021
NPI 1093763419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MT · 10145
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.

Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedClinic/Center · Hearing and SpeechTaxonomy 261QH0700X · License 3111 (MT), 3582 (MT)
9 14TH AVE W, Polson, MT 59860

Other Names 1

Doing Business AsPolson Health And Rehabilitation Center

Other Identifiers 1

Medicaid310622MT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 27D0677491

Polson Health And Rehabilitation · Polson, MT
Active · expires Aug 31, 2026
CLIA Number27D0677491
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorStephen Irwin
Laboratory Phone(406) 883-4378
Laboratory LocationPolson Health And RehabilitationNine 14th Ave West, Polson, MT 59860
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

Skilled Nursing Facility
9 14TH AVE W
POLSON, MT 59860
Speech-Language Pathologist
9 14TH AVE W
POLSON, MT 59860
Occupational Therapy Assistant
9 14TH AVE W
POLSON, MT 59860
Physical Therapy Assistant
9 14TH AVE W
POLSON, MT 59860
Speech-Language Pathologist
9 14TH AVE W
POLSON, MT 59860
Speech-Language Pathologist
9 14TH AVE W
POLSON, MT 59860
Occupational Therapist
9 14TH AVE W
POLSON, MT 59860
Physical Therapist
9 14TH AVE W
POLSON, MT 59860

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 Evergreen At Polson, L.L.C.'s NPI number?

The NPI number for Evergreen At Polson, L.L.C. is 1093763419. It was assigned to this organization in the NPPES registry on May 5, 2006. The provider is doing business as Polson Health And Rehabilitation Center.

Where is Evergreen At Polson, L.L.C. located?

Evergreen At Polson, L.L.C. is located at 9 14th Ave W, Polson, MT 59860. The listed phone number is (406) 883-4378.

What is Evergreen At Polson, L.L.C.'s specialty?

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

Does Evergreen At Polson, L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 27D0677491) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Evergreen At Polson, L.L.C. accept?

Health plans from Blue Cross and Blue Shield of Montana and Mountain Health CO-OP list Evergreen At Polson, L.L.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evergreen At Polson, L.L.C. was last updated on March 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.