State Of Montana in Lewistown - Intermediate Care Facility, Mental Illness
State Of Montana - NPI 1528079720
State Of Montana is a Intermediate Care Facility, Mental Illness in Lewistown, Montana. State Of Montana practices all healthcare services and medical treatments related to Intermediate Care Facility, Mental Illness. The NPI Number for State Of Montana is 1528079720. The last update date is 2012-05-30.
State Of Montana's current location address is 800 Casino Creek Dr, Lewistown, Montana. You can contact this provider via phone number 4065387451 and fax number 4065382863. The mailing address for State Of Montana is 800 Casino Creek Dr, Lewistown, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Of Montana |
|---|---|
| Address | 800 Casino Creek Dr, Lewistown, Montana |
| Phone Number | 4065387451 |
| Fax Number | 4065382863 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | FISCAL MAN |
|---|---|
| Authorized Official Name | Everett Teddi |
| Telephone Number | 4064444497 |
NPI Number Detail
| NPI Number | 1528079720 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2012-05-30 |
Provider Mailing Address Detail
| Address | 800 Casino Creek Dr |
|---|---|
| City | Lewistown |
| State | Montana (MT) |
| Post Code | 594573359 |
| Phone Number | 4065387451 |
| Fax Number | 4065382863 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Mental Illness |
|---|---|
| Taxonomy | 310500000X |
| Licence No | 10746 |
|
Definition: A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 57-0414 | MT | -- | |
| 57-2546 | MT | -- | |
| 57-0197 | MT | -- | |
| 57-2676 | MT | -- |
Post Comment/ Review Below
What is the State Of Montana's unique identification number?
The State Of Montana has been assigned the NPI (National Provider Identifier) Number 1528079720 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the State Of Montana's physical address?
The State Of Montana is physically located at 800 Casino Creek Dr, in the city of Lewistown, MT, with the postal code 594573359.
What is the area of specialization for State Of Montana, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for State Of Montana is Intermediate Care Facility, Mental Illness, and the corresponding taxonomy code that categorizes this area of expertise is 310500000X.
When was the State Of Montana's 1528079720 issued?
The State Of Montana's 1528079720 was issued on 2006-08-11.
As of what date were the details pertaining to State Of Montana last refreshed?
The information related to the State Of Montana, including its address, specialty, and other relevant details, was last updated on 2012-05-30.