SUNBURST HEALTH, LLC DBA CEDAR CREEK INTEGRATED HEALTH (NPI# 1093297764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093297764 |
| Entity Type | Organization |
| Organization Name | SUNBURST HEALTH, LLC DBA CEDAR CREEK INTEGRATED HEALTH |
| Practice Address |
109 1st Avenue St Ignatius MT 59865-0703 |
| Mailing Address |
Po Box 1179 St Ignatius MT 59865-1179 |
| Practice Telephone | 4067453681 |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2020-05-18 |
| Authorized Official Name | PENNI HAND (BILLING MANAGER) |
| Authorized Official Telephone | 4067568721 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 108 E 9th St, Libby, MT 599232012 | 4062935284 | 4062935806 |
| 109 1st Avenue, St Ignatius, MT 598650703 | 4067453681 | |
| 1635 S Russell St, Missoula, MT 598015636 | 4062039948 | 4062039949 |
| Street Address |
109 1ST AVENUE |
| City | ST IGNATIUS |
| State | MT |
| Zip Code | 59865-0703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083947055 | Sunburst Community Service Foundation, Inc | Clinic/Center | 109 1st Avenue, St Ignatius, MT 59865 | 2009-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366007544 | Donald Paul Roberts | Counselor | 109 First Avenue, St. Ignatius, MT 59865 | 2019-05-03 |
| 1518521657 | Maria Grieco | Social Worker | 76 3rd Ave, St. Ignatius, MT 59865 | 2019-04-24 |
| 1801363239 | Julie A. Cross | Dental Hygienist | 1 Woodscocks Way, St. Ignatius, MT 59865 | 2018-10-24 |
| 1346727468 | Shawn Michael Griffith | Dentist | 1 Woodcocks Way, St. Ignatius, MT 59865 | 2018-07-21 |
| 1063868743 | Natasha R. Sinclair | Registered Nurse | 308 Mission Dr., St. Ignatius, MT 59865 | 2016-05-11 |
| 1487067880 | Brenda Ferril | Chiropractor | 200 Mountain View St, St Ignatius, MT 59865 | 2014-06-04 |
| 1114248648 | Suzanne T Cannady | Pharmacist | #5 4th Ave E, Polson, MT 59865 | 2010-06-18 |
| 1396974572 | Jennifer Van Wagoner | Dentist | 35401 Mission Dr, St. Ignatius, MT 59865 | 2009-07-08 |
| 1124211297 | Gordon F Duff Gerrish | Psychologist | 56850 Fish Hatchery Road, St Ignatius, MT 59865 | 2007-08-22 |
| 1225252935 | Richard J Best | General Practice | 101 Arrow St Dba Garden Wall Clinic, St. Ignatius, MT 59865 | 2007-04-12 |
| Find all providers in zip 59865 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083947055 | Sunburst Community Service Foundation, Inc | Clinic/Center | 109 1st Avenue, St Ignatius, MT 59865 | 2009-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111746 | Integrative Mental Health Services, Pllc | Clinic/Center | 926 Main St Ste 14, Billings, MT 59105-3359 | 2020-10-14 |
| 1104434422 | Grace Counseling, Pllc | Clinic/Center | 1629 Avenue D Ste A4, Billings, MT 59102-3042 | 2020-07-22 |
| 1164045373 | Align Life Mental Health Mental Health Services LLC | Clinic/Center | 305 W Mercury St Ste 407, Butte, MT 59701-1672 | 2020-05-21 |
| 1588216535 | Diversified Therapeutic Services, Pllc | Clinic/Center | 30 E Washinton St, Suite A, Kalispell, MT 59901 | 2019-07-10 |
| 1336701473 | Realization Therapy, Pllc | Clinic/Center | 115 W 3rd St Ste 205, Stevensville, MT 59870-2034 | 2019-06-28 |
| 1154802676 | Peak Mental Health, LLC | Clinic/Center | 120 S. Main St, Suite 102, Sheridan, MT 59749 | 2018-08-23 |
| 1487885539 | Falls Neuropsychological Services, P.C. | Clinic/Center | 1601 2nd Ave N Ste 650, Great Falls, MT 59401-3223 | 2009-08-06 |
| 1629104229 | Lds Family Services | Clinic/Center | 2620 Colonial Dr Ste D, Helena, MT 59601-8042 | 2007-02-26 |
| 1710994843 | New Life Counseling P.C. | Clinic/Center | 121 W Magnolia Dr, Belgrade, MT 59714-9584 | 2006-08-02 |
| 1609485747 | Courtney Richards, Lcpc, Pllc | Clinic/Center | 1048 Burlington Ave Ste 108, Missoula, MT 59801-5684 | 2020-07-24 |
| Find all providers with the same taxonomy | ||||
| City | ST IGNATIUS |
| Zip Code | 59865 |
Please comment or provide details below to improve the information on SUNBURST HEALTH, LLC DBA CEDAR CREEK INTEGRATED HEALTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.