1528109766 NPI number — RESOURCE, SUPPORT, & DEVELOPMENT, INC.

Table of content: (NPI 1528109766)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528109766 NPI number — RESOURCE, SUPPORT, & DEVELOPMENT, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RESOURCE, SUPPORT, & DEVELOPMENT, INC.
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:
1528109766
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 80185
Provider Second Line Business Mailing Address:
2110 OVERLAND, SUITE 126
Provider Business Mailing Address City Name:
BILLINGS
Provider Business Mailing Address State Name:
MT
Provider Business Mailing Address Postal Code:
59108-0185
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
406-652-5443
Provider Business Mailing Address Fax Number:
406-652-9361

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2110 OVERLAND AVE
Provider Second Line Business Practice Location Address:
SUITE 126
Provider Business Practice Location Address City Name:
BILLINGS
Provider Business Practice Location Address State Name:
MT
Provider Business Practice Location Address Postal Code:
59102-6480
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
406-652-5443
Provider Business Practice Location Address Fax Number:
406-652-9361
Provider Enumeration Date:
02/09/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MILLER
Authorized Official First Name:
RHODA
Authorized Official Middle Name:
J
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
406-652-5443

Provider Taxonomy Codes

  • Taxonomy code: 251C00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 320900000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

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

  • Identifier: 0000621707 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".




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