STATE OF MONTANA NPI 1497765150

NPI Information

NPI: 1497765150
Provider Name: STATE OF MONTANA

Doing Business As: MONTANA CHEMICAL DEPENDENCY CENTER

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 27D2190317

Address:
525 E MERCURY ST
BUTTE, MT
ZIP 59701
Phone: (406) 496-5407
Get Directions

STATE OF MONTANA is a substance abuse rehabilitation facility in Butte, MT. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. STATE OF MONTANA NPI is 1497765150. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Montana Chemical Dependency Center.

The provider's business location address is:

525 E MERCURY ST
BUTTE, MT
ZIP 59701-911
Phone: (406) 496-5407
Fax: (406) 496-5437

The provider's authorized official is Aleasha Martin .
The authorized official title is Facility Reimbursement Manager and has the following contact phone number (406) 444-3416.

The CLIA number assigned to this NPI record is 27D2190317 - other - inpatient treatment facil with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/8/2006 and was last updated on 2/26/2024.

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
1	2084N0400X	Psychiatry & Neurology	Neurology			No
2	2084P0800X	Psychiatry & Neurology	Psychiatry			No
3	2084P0802X	Psychiatry & Neurology	Addiction Psychiatry			No
4	324500000X	Substance Abuse Rehabilitation Facility		10324	MONTANA	Yes

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
1	57-0112	MEDICAID	MONTANA
2	57-0362	MEDICAID	MONTANA

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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