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BUTTE SPIRIT CENTER NPI 1477218584


NPI Information

NPI: 1477218584
Provider Name: BUTTE SPIRIT CENTER
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
609 W GALENA ST
BUTTE, MT
ZIP 59701
Phone: (406) 640-8069
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BUTTE SPIRIT CENTER is a rehabilitation and substance use disorder clinic center in Butte, MT. BUTTE SPIRIT CENTER NPI is 1477218584. The provider is registered as an organization entity type.

The provider's business location address is:

609 W GALENA ST
BUTTE, MT
ZIP 59701-507
Phone: (406) 640-8069
Fax: (406) 303-5264

The provider's authorized official is Demetrius Fassas .
The authorized official title is Executive Director and has the following contact phone number (406) 640-8069.

The enumeration date for this NPI number is 11/3/2021 and was last updated on 3/22/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
113587OTHERMONTANAMONTANA DEPARTMENT OF HEALTH AND HUMAN SERVICES LICENSE #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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