Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

1130 Seventeenth Avenue Operations LLC

Organization Skilled Nursing Facility · NPI 1063459501

1130 Seventeenth Avenue Operations LLC is a Skilled Nursing Facility in Great Falls, Montana. Licensed in Montana. Registered with an NPI since 2006.

Licensed in
MT
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1130 17th Ave S
Great Falls, MT 59405-4523
Phone: (406) 771-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 12680 (MT)

Record details

NPI number1063459501
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Berg — Assistant Secretary · (505) 468-4752
Other names Missouri River Center
NPI enumeratedJune 1, 2006
Last updated in NPPESMay 17, 2016
Mailing address1130 17th Ave S, Great Falls, MT 59405-4523

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