Western Montana Mental Health Center in Missoula - Rehabilitation, Substance Use Disorder
Western Montana Mental Health Center - NPI 1912079328
Western Montana Mental Health Center is a Rehabilitation, Substance Use Disorder in Missoula, Montana. Western Montana Mental Health Center practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Western Montana Mental Health Center is 1912079328. The last update date is 2019-08-29.
Western Montana Mental Health Center's current location address is 1321 Wyoming St, Missoula, Montana. You can contact this provider via phone number 4065328400 and fax number 4062244402. The mailing address for Western Montana Mental Health Center is 1321 Wyoming St, Missoula, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Western Montana Mental Health Center |
|---|---|
| Address | 1321 Wyoming St, Missoula, Montana |
| Phone Number | 4065328400 |
| Fax Number | 4062244402 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Anderson Levi |
| Credentials | FACHE |
| Telephone Number | 4065328400 |
NPI Number Detail
| NPI Number | 1912079328 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2019-08-29 |
Provider Mailing Address Detail
| Address | 1321 Wyoming St |
|---|---|
| City | Missoula |
| State | Montana (MT) |
| Post Code | 598011725 |
| Phone Number | 4065328400 |
| Fax Number | 4062244402 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation, Substance Use Disorder |
|---|---|
| Taxonomy | 261Qr0405X |
| Licence No | 258 07 |
|
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 320424 | MT | -- | |
| 352248 | MT | -- | |
| 502316 | MT | -- | |
| 47379 | MT | -- | |
| 320385 | MT | -- | |
| 491419 | MT | -- | |
| 141232 | MT | -- | |
| 320177 | MT | -- | |
| 439161 | MT | -- | |
| 255425 | MT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Western Montana Mental Health Center by the Centers for Medicare & Medicaid Services?
The Western Montana Mental Health Center has been assigned the NPI (National Provider Identifier) 1912079328 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Western Montana Mental Health Center is physically located?
The Western Montana Mental Health Center is physically situated at the following address: 1321 Wyoming St, Missoula, MT, 598011725.
What is Western Montana Mental Health Center's specialized field of practice, and what is the corresponding taxonomy classification code?
The Western Montana Mental Health Center's area of specialization is Rehabilitation, Substance Use Disorder, and the corresponding taxonomy code that categorizes this field of practice is 261Qr0405X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912079328 to Western Montana Mental Health Center?
The Centers for Medicare & Medicaid Services originally issued the 1912079328 to Western Montana Mental Health Center on 2006-11-14.
When was the information pertaining to Western Montana Mental Health Center most recently updated or revised?
The details related to Western Montana Mental Health Center, including its address, specialty, and other relevant information, were last updated or revised on 2019-08-29.