Wilderness Alternative School, Inc in Marion - Substance Abuse Rehabilitation Facility
Wilderness Alternative School, Inc - NPI 1144372012
Wilderness Alternative School, Inc is a Substance Abuse Rehabilitation Facility in Marion, Montana. Wilderness Alternative School, Inc practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Wilderness Alternative School, Inc is 1144372012. The last update date is 2012-02-21.
Wilderness Alternative School, Inc's current location address is 200 Hubbart Dam Rd, Marion, Montana. You can contact this provider via phone number 4068542832. The mailing address for Wilderness Alternative School, Inc is 200 Hubbart Dam Rd, Marion, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wilderness Alternative School, Inc |
|---|---|
| Address | 200 Hubbart Dam Rd, Marion, Montana |
| Phone Number | 4068542832 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Brekke E. John |
| Credentials | LAC |
| Telephone Number | 4068542832 |
NPI Number Detail
| NPI Number | 1144372012 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2012-02-21 |
Provider Mailing Address Detail
| Address | 200 Hubbart Dam Rd |
|---|---|
| City | Marion |
| State | Montana (MT) |
| Post Code | 599259708 |
| Phone Number | 4068542832 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
| Licence No | 10132 |
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Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2662 | MT | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Wilderness Alternative School, Inc?
The Wilderness Alternative School, Inc has been issued the NPI (National Provider Identifier) 1144372012 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Wilderness Alternative School, Inc is physically located?
The Wilderness Alternative School, Inc is situated at the following address: 200 Hubbart Dam Rd, Marion, MT 599259708.
What is the area of specialization for Wilderness Alternative School, Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Wilderness Alternative School, Inc is Substance Abuse Rehabilitation Facility, and the corresponding taxonomy code that categorizes this area of expertise is 324500000X.
On what date did the Wilderness Alternative School, Inc receive its 1144372012 assignment from the Centers for Medicare & Medicaid Services?
The Wilderness Alternative School, Inc was assigned its 1144372012 by the Centers for Medicare & Medicaid Services on 2007-01-18.
As of what date were the Wilderness Alternative School, Inc's details last updated?
The information pertaining to the Wilderness Alternative School, Inc, including its address, specialty, and other details, was most recently updated on 2012-02-21.