June 07 Carrier Codes - Montana Medicaid Provider Information
June 07 Carrier Codes - Montana Medicaid Provider Information
June 07 Carrier Codes - Montana Medicaid Provider Information
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R70 KLAUS & COMPANY 1867 W MARKET ST AKRON, OH 55313-6977 (330) 867-8443<br />
694 KMSB MEDICAL P O BOX 5016 KLAMATH FALLS, OR 97601 (503) 884-7756 MR-DO NOT USE<br />
K19 KOHLER SELECT P O BOX 5<strong>07</strong> APPLETON, WI 54912-05<strong>07</strong><br />
S11 KROGER BENEFITS 3800 SE 22ND AVE PORTLAND, OR 97202<br />
240 KULR TV 8 1432 HAMILTON AVENUE CLEVELAND, OH 44114 (800) 722-7374<br />
775 KVBA TEAMSTERS LOCAL #556 P O BOX 515 DAKOTA CITY, NE 68731<br />
A45 L & H ADMINISTRATORS P O BOX 12772 FRESNO, CA 93779 (916) 442-9<strong>07</strong>1<br />
B75 L & H ADMINISTRATORS# P O BOX 12772 FRESNO, CA 93779 (209) 485-6480 DO NOT USE-USE A45<br />
596 LABORERS A G C TRUST OF MT P O BOX 5434 SPOKANE, WA 99205 (509) 328-0300 800-716-0300<br />
D11 LABORERS FUNDS ADMINISTRATIVE OFFICE OF N. CALIF. ATTN JEANNE 220 CAMPUS LANE FAIRFIELD, CA 94534 (7<strong>07</strong>) 864-2800<br />
E60 LABORERS UNION# P O BOX 5434 SPOKANE, WA 99205 (406) 723-8102<br />
839 LAHOOD AND ASSOCIATES ALLMERICA FINANCIAL P O BOX 1<strong>07</strong> HOWELL, MI 48843-01<strong>07</strong> (800) 255-6065<br />
H80 LAMAR LIFE INS CO P O BOX 66978 CHICAGO, IL 60666 (800) 258-5542<br />
T76 LAMB WESTON P O BOX 128 TWIN FALLS, ID 83303<br />
926 LAMB-WESTON CO COLUMBIA AVE-OLSON RD P O BOX 379 BOARDMAN, OR 97818<br />
W81 LANTIS HEALTH PLAN P O BOX 699 SPEARFISH, SD 57783 (605) 642-7736<br />
C06 LATHERS WELFARE TRUST P O BOX 6468 SANTA ANA, CA 92706 (714) 554-1644<br />
957 LEGACY LIFE INS# P O BOX 10380 PHOENIX, AZ 85016 (602) 957-8781<br />
838 LEGACY LIFE INSURANCE P O BOX 10380 PHOENIX, AZ 85016 (602) 957-8781<br />
A52 LEGGETT & PLATT 905 MEMORIAL DR S E P O BOX 100055 ATLANTA, GA 30348 (404) 525-5501<br />
210 LEGGETT & PLATT INC P O BOX 757 CARTHAGE, MO 64836 (417) 358-8131<br />
789 LEGIONNAIRE INS TRUST PROGRAM P O BOX 9060 PHOENIX, AZ 85068 (800) 882-0220 800-235-6943 CUSTOMER SERVICE<br />
F38 LES SCHWAB TIRES P O BOX 5666 PORTLAND, OR 97228 (541) 416-5222<br />
12/14/2005 BOX CLOSED-NO FO<br />
1-888-821-4440<br />
B27 LEWER AGENCY INC 4534 WORNALL RD KANSAS CITY, MO 64111-3236 (816) 753-4390<br />
571 LEWIS & CLARK SELF INS C/O ALLEGIANCE BENEFIT PLAN P O BOX 3018 MISSOULA, MT 59806 (406) 721-2222<br />
451 LEXTRON INC. HEALTH & WELFARE P O BOX 3025 GREELY, CO 80633 (303) 353-2600<br />
H73 LIBERTY HEALTH PLAN P O BOX 5117 PORTLAND, OR 97208-5117<br />
C13 LIBERTY LIFE ASSURANCE P O BOX 730 MISHAWAKA, IN 46546-<strong>07</strong>30 (800) 762-4648<br />
A86 LIBERTY MUTUAL P O BOX 2817 GAINSVILLE, GA 30503 (800) 241-1121<br />
K57 LIBERTY MUTUAL WORK COMP P O BOX 168208 IRVING, TX 75016-8208 (800) 300-0110<br />
458 LIBERTY NATIONAL LIFE INS CO P O BOX 10592 BIRMINGHAM, AL 35202 (205) 325-2575<br />
412 LIBERTY NORTHWEST 6<strong>07</strong> SW HIGGINS AVENUE MISSOULA, MT 59803-1443 (406) 543-4933<br />
800-735-7<strong>07</strong>9<br />
WC CARRIER<br />
416 LIBERTY NORTHWEST COMPANIES P O BOX 4555 PORTLAND, OR 97208-4555 (800) 935-5436<br />
H98 LIBERTY NW INSURANCE P O BOX 4555 PORTLAND, OR 97208-4555 (800) 935-5436 DO NOT USE-USE H73<br />
135 LIFE & HEALTH OF AMERICA P O BOX 25903 TAMARAC, FL 33320<br />
315 LIFE GENERAL SECURITY INS CO# P O BOX 432050 SOUTH MIAMI, FL 33243 (800) 338-3397 DO NOT USE<br />
263 LIFE INS CO OF N AMERICA 1600 ARCH STREET PHILADELPHIA, PA 19103<br />
262 LIFE INS CO OF SOUTHWEST P O BOX 569080 DALLAS, TX 75356-9080 (231) 463-8916<br />
P03 LIFE INVESTORS INS P O BOX 1887 BOZEMAN, MT 59771 (406) 586-4334<br />
F97 LIFE INVESTORS INS# OF AMERICA P O BOX 982012 N RICHLAND HILLS, TX 76182-8012 (800) 347-7082 DO NOT USE-USE 264<br />
M94 LIFE INVESTORS INSURANCE P O BOX 97 SCRANTON, PA 18504-0097 (800) 752-9797<br />
978 LIFE OF GEORGIA GROUP CLAIMS P O BOX 105022 ATLANTA, GA 30348-5022 (800) 654-7914<br />
X10 LIFE-RE INSURANCE COMPANY P O BOX 792<strong>07</strong>0 SAN ANTONIO, TX 78279-2<strong>07</strong>0 (800) 229-1024<br />
S32 LIFEWISE PREMERA HEALTH PLAN P O BOX 7700 BEND, OR 97708 (800) 611-4957 1-800-777-1502 CUSTOMER SERVICE<br />
Z65 LIFEWISE P O BOX 91060 SEATTLE, WA 98111<br />
S90 LILLY HEALTH PLANS P O BOX 7164 INDIANAPOLIS, IN 462<strong>07</strong><br />
A93 LINCOLN BENEFIT LIFE P O BOX 80469 LINCOLN, NE 68501-9937 (800) 228-4240<br />
V75 LINCOLN CLAIMS ADMINISTRATION P O BOX 9129 PHOENIX, AZ 85068-9129 (602)870-6<strong>07</strong>8<br />
AN5 LINCOLN FINANCIAL P O BOX 821 CAROL STREAM, IL 60103-0821<br />
480 LINCOLN HERITAGE INSURANCE 4343 EAST CAMELBACK P O BOX 29045 PHOENIX, AZ 85038 (800) 433-8181<br />
874 LINCOLN MUTUAL LIFE & CASUALTY 203 N 10TH ST P O BOX 1918 FARGO, ND 581<strong>07</strong> (800) 874-2656 701-282-18<strong>07</strong><br />
B44 LINCOLN MUTUAL LIFE & CASUALTY# P O BOX 1918 FARGO, ND 581<strong>07</strong> (701) 282-1823 DO NOT USE-USE 874<br />
023 LINCOLN NAT LIFE INS CO# DO NOT USE P O BOX 2249 FORT WAYNE, IN 46801 (260) 455-4800 DO NOT USE-MR<br />
052 LINCOLN NATIONAL 5310 A SPECTRUM DR FREDERICK, MD 21701 (800) 626-5540<br />
A77 LINCOLN NATIONAL INS CO 1300 SO CLINTON STREET FORT WAYNE, IN 46801<br />
196 LINCOLN NATIONAL INSURANCE 1510 FASHION ISLAND BLVD SUITE 201 SAN MATEO, CA 94404 (303) 779-1111<br />
150 LINCOLN NATIONAL INSURANCE MT EMPLOYERS GROUP INC P O BOX 2265 GREAT FALLS, MT 59403<br />
801 LINCOLN NATIONAL LIFE INS CO# 1300 SOUTH CLINTON ST P O BOX 2249 FORT WAYNE, IN 46801 DO NOT USE - USE 023<br />
853 LINCOLN NAT'L ADMINISTRTIVE SER FREDRICKS GRP OPERATION CENTER 7445 NEW TECHNOLOGY WAY FREDRICKS, MD 21701 (800) 626-5540<br />
852 LINCOLN NAT'L LIFE P O BOX 5001 FORT SCOTT, KS 66701 (800) 826-2898<br />
663 LINCOLN NAT'L LIFE INS# 1300 CLINTON STREET FORT WAYNE, IN 46801 DO NOT USE - USE 023<br />
962 LINECO 2000 SPRINGER DR LOMBARD, IL 60148 (800) 323-7268 CLAIMS MAY BE PROCESSED THRU LOCAL BC/BS<br />
A70 LOCAL 399 HEALTH & WELFARE 763 WEST JACKSON BLVD CHICAGO, IL 60661 312-236-0065 IS INVALID #<br />
085 LONE STAR LIFE INSURANCE CO P O BOX 35047 DALLAS, TX 75235 (800) 233-2510<br />
E<strong>07</strong> LOOMIS COMPANY BENEFITS DIVISION P O BOX 7011 WYOMISSING, PA 19610-6047 (800) 432-5893<br />
M85 LOOMIS COMPANY P O BOX 7011 WYOMISSING, PA 19610 (877) 461-3918<br />
HE0 LORING COLONY P O BOX 14 LORING, MT 59537 (406) 674-5227<br />
613 LOS ANGELES HOTEL RESTURANT FND 130 S ALVARADO ST P O BOX 57924 LOS ANGELES, CA 90057 (203) 484-8480<br />
N32 LOVELACE HEALTH PLAN ATTN: CLAIMS P O BOX 271<strong>07</strong> ALBUQUERGUE, NM 87125 (800) 808-7363<br />
R22 LOVELACE HEALTH PLAN P O BOX 9389 SHERMAN, TX 75091-9389 (800) 808-7363<br />
C84 LUFKIN INDUSTRIES INC P O BOX 849 LUFKIN, TX 75902 (409) 634-2211<br />
W55 LUMENOS 1725 DUKE ST STE 400 ALEXANDRIA, VA 23314 (877) 554-4725<br />
X56 LUMENOS P O BOX 69309 HARRISBURG, PA 17106 (877) 554-4725<br />
769 LUTHERAN BROTHERHOOD 625 4TH AVE SOUTH MINNEAPOLIS, MN 55415<br />
F73 LUTHERAN HEALTH SYSTEMS P O BOX 9239 FARGO, ND 58106-9239 (800) 342-4718<br />
B60 M & M BENEFIT BOARD AMERICAN BAPTIST CHURCH 475 RIVERSIDE DRIVE NEW YORK, NY 10115 (212) 870-3036 DO NOT USE-NOT AN INSURANCE COMPANY<br />
K16 M C C T P A BENEFITS MANAGED CARE CONSULTANTS P O BOX 12449 LAS VEGAS, NV 89112-2449 (702) 456-7214<br />
W13 M D A P O BOX 1220 KALISPELL, MT 59903 (406) 752-8000<br />
B02 M S I INSURANCE P O BOX 64035 ST PAUL, MN 55164-0035
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