State Of Montana in Butte - Substance Abuse Rehabilitation Facility

State Of Montana - NPI 1497765150

State Of Montana is a Substance Abuse Rehabilitation Facility in Butte, Montana. State Of Montana practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for State Of Montana is 1497765150. The last update date is 2012-05-30.

State Of Montana's current location address is 2500 Continental Dr, Butte, Montana. You can contact this provider via phone number 4064965400 and fax number 4064965437. The mailing address for State Of Montana is 2500 Continental Dr, Butte, Montana. To know further, please read the information below!

Provider Profile Detail

Provider Organization State Of Montana
Address 2500 Continental Dr, Butte, Montana
Phone Number 4064965400
Fax Number 4064965437
Sole Proprietor --
Credentials --

Authorized Official

Title or Position FISCAL MAN
Authorized Official Name Everett Teddi
Telephone Number 4064444497

NPI Number Detail

NPI Number 1497765150
Provider Enumeration Date 2006-08-08
Last Updated Date 2012-05-30

Provider Mailing Address Detail

Address 2500 Continental Dr
City Butte
State Montana (MT)
Post Code 597016565
Phone Number 4064965400
Fax Number 4064965437

Provider's Primary Taxonomy Detail

Speciality Substance Abuse Rehabilitation Facility
Taxonomy 324500000X
Licence No 10324
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
57-0112 MT --
57-0362 MT --

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FAQs about State Of Montana

What is the unique 10-digit identification code issued to State Of Montana by the Centers for Medicare & Medicaid Services?

The State Of Montana has been assigned the NPI (National Provider Identifier) 1497765150 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where State Of Montana is geographically located?

The State Of Montana is physically situated at the following location: 2500 Continental Dr, Butte, MT, 597016565.

What is the State Of Montana's specialty and taxonomy code?

The State Of Montana's specialty is Substance Abuse Rehabilitation Facility, and the corresponding taxonomy code is 324500000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1497765150 to State Of Montana?

The Centers for Medicare & Medicaid Services assigned the 1497765150 to State Of Montana on 2006-08-08.

When was the information regarding State Of Montana, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to State Of Montana, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-05-30.

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