WILDERNESS ALTERNATIVE SCHOOL, INC


Address: 200 Hubbart Dam Rd, Marion, MT 59925-9708
Phone: 4068542832

WILDERNESS ALTERNATIVE SCHOOL, INC (NPI# 1144372012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144372012
Entity Type Organization
Organization Name WILDERNESS ALTERNATIVE SCHOOL, INC
Other Organization Name WILDERNESS TREATMENT CENTER
Practice Address 200 Hubbart Dam Rd
Marion
MT 59925-9708
Practice Telephone 4068542832
Mailing Telephone 4068542832
Enumeration Date 2007-01-18
Last Update Date 2012-02-21
Authorized Official Name MR. JOHN E. BREKKE (PRESIDENT)
Authorized Official Telephone 4068542832
Authorized Official Credential LAC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility 10132 MT Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MT BLUE CROSS BLUE SHIELD 02662 01

Other Provider/Organization Names

Other Name Type Code
Wilderness Treatment Center Doing Business As Name - Organization

Office Location

Street Address 200 HUBBART DAM RD
City MARION
State MT
Zip Code 59925-9708

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144687138 Marion Fire District Ambulance 180 Gopher Ln, Marion, MT 59925 2016-01-21
1669712543 Sara Boilen Counselor 9075 Lost Prairie Road, Marion, MT 59925 2013-02-28
1285887364 Marion Volunteer Fire Department Ambulance 180 Gopher Lane, Marion, MT 59925-0000 2008-11-03
1245771138 Marion School District #54 Local Education Agency (LEA) 205 Gopher Ln, Marion, MT 59925-9702 2017-03-13
1225106511 Marion Ambulance & Rescue Service Inc Ambulance 660 Gopher Ln, Marion, MT 59925-9789 2006-12-03
1508078528 Dennis P Malinak Psychiatry & Neurology 9705 Lost Prairie Rd, Marion, MT 59925-9844 2007-05-03
1982149589 Todd Cardin Counselor 9705 Lost Prairie Rd, Marion, MT 59925-9844 2017-01-05
1477859932 Cynthia Freeman Registered Nurse 9705 Lost Prairie Rd, Marion, MT 59925-9844 2011-02-01
1184806432 Montana Academy, Incorporated Psychiatric Residential Treatment Facility 9705 Lost Prairie Rd, Marion, MT 59925-9844 2007-11-28
1336320134 John L. Santa Psychologist 9705 Lost Prairie Rd, Marion, MT 59925-9844 2007-11-20
Find all providers in zip 59925

Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy 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.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487192712 Union Parish Services Substance Abuse Rehabilitation Facility 100 Mcvicker St, Marion, LA 71260 2017-02-07
1083975205 Marion Area Counseling Center, Inc. Substance Abuse Rehabilitation Facility 320 Executive Dr, Marion, OH 43302-6310 2012-06-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740764166 Aspen Assessment & Counseling Services Substance Abuse Rehabilitation Facility 505 W Main St Ste 316, Lewistown, MT 59457-5703 2018-09-21
1740552272 Jim Christopher Martinez Substance Abuse Rehabilitation Facility 4880 Us Highway 93 S, Kalispell, MT 59901-7985 2012-01-30
1043547383 Family Solutions Network, Inc. Substance Abuse Rehabilitation Facility 31733 South Fork Rd, Troy, MT 59935 2009-11-06
1952464448 Rocky Mountain Treatment Center Substance Abuse Rehabilitation Facility 920 4th Ave N, Great Falls, MT 59401-1514 2006-12-18
1497765150 State of Montana Substance Abuse Rehabilitation Facility 2500 Continental Dr, Butte, MT 59701-6565 2006-08-08
1437529021 Western Montana Mental Health Center Substance Abuse Rehabilitation Facility 1321 Wyoming St, Missoula, MT 59801-1725 2015-09-25
1285073403 Rimrock Foundation Substance Abuse Rehabilitation Facility 1231 N 29th St, Billings, MT 59101-0122 2013-06-20
1003172503 Alternative Youth Care Substance Abuse Rehabilitation Facility 4880 Us Highway 93 S, Kalispell, MT 59901-7985 2012-04-09
1902122427 Fort Belknap Indian Community Substance Abuse Rehabilitation Facility 656 Agency Main St, Harlem, MT 59526 2010-04-08
1811210578 White Sky Hope Center Substance Abuse Rehabilitation Facility 6850 Upper Box Elder Rd, Box Elder, MT 59521-9073 2010-03-10
Find all providers with the same taxonomy

Competitor

Search similar providers

City MARION
Zip Code 59925

Improve Information

Please comment or provide details below to improve the information on WILDERNESS ALTERNATIVE SCHOOL, INC.

Dataset Information

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.

Trending Searches