1891781787 NPI number — SOUTH CENTRAL MONTANA REGIONAL MENTAL HEALTH CENTER

Table of content: (NPI 1891781787)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891781787 NPI number — SOUTH CENTRAL MONTANA REGIONAL MENTAL HEALTH CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOUTH CENTRAL MONTANA REGIONAL MENTAL HEALTH CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1891781787
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/30/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 219
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BILLINGS
Provider Business Mailing Address State Name:
MT
Provider Business Mailing Address Postal Code:
59103-0219
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
406-252-5658
Provider Business Mailing Address Fax Number:
406-238-3617

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1245 N 29TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BILLINGS
Provider Business Practice Location Address State Name:
MT
Provider Business Practice Location Address Postal Code:
59101-0122
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
406-252-5658
Provider Business Practice Location Address Fax Number:
406-238-3617
Provider Enumeration Date:
09/26/2005

Additional Information

Authorized Official

Authorized Official Last Name:
OSTERMILLER
Authorized Official First Name:
RODNEY
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
406-252-5658

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: CS701326 . This is a "RR MEDICARE GROUP NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: CD-1841 . This is a "RR MEDICARE GROUP NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: VENDOR #0177769 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".
  • Identifier: VENDOR #0216125 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".
  • Identifier: VENDOR #0216121 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".
  • Identifier: VENDOR #0216112 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".
  • Identifier: VENDOR #0177775 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".
  • Identifier: VENDOR #0177786 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".
  • Identifier: VENDOR #0216104 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".




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