MONTANA ACADEMY, INCORPORATED (NPI# 1184806432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184806432 |
| Entity Type | Organization |
| Organization Name | MONTANA ACADEMY, INCORPORATED |
| Practice Address |
9705 Lost Prairie Rd Marion MT 59925-9844 |
| Mailing Address |
28 W California St Kalispell MT 59901-3927 |
| Practice Telephone | 4068582339 |
| Practice Fax Number | 4068582356 |
| Mailing Telephone | 4067557318 |
| Mailing Fax Number | 4067553150 |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2007-11-28 |
| Authorized Official Name | JOHN A MCKINNON (PRESIDENT) |
| Authorized Official Telephone | 4067557318 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| Street Address |
9705 LOST PRAIRIE RD |
| City | MARION |
| State | MT |
| Zip Code | 59925-9844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1336320134 | John L. Santa | Psychologist | 9705 Lost Prairie Rd, Marion, MT 59925-9844 | 2007-11-20 |
| 1760662639 | John A Mckinnon | Psychiatry & Neurology | 9705 Lost Prairie Rd, Marion, MT 59925-9844 | 2007-11-08 |
| 1831391440 | Amy Simpson | Psychologist | 9705 Lost Prairie Rd, Marion, MT 59925-9844 | 2007-06-05 |
| 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 |
| 1144372012 | Wilderness Alternative School, Inc | Substance Abuse Rehabilitation Facility | 200 Hubbart Dam Rd, Marion, MT 59925-9708 | 2007-01-18 |
| 1225106511 | Marion Ambulance & Rescue Service Inc | Ambulance | 660 Gopher Ln, Marion, MT 59925-9789 | 2006-12-03 |
| 1881134583 | Western Montana Works LLC | Case Management | 1147 Homesteaders Way, Marion, MT 59925-9888 | 2017-02-28 |
| 1669968020 | Daniel Malinowski Jr. | Contractor | 1147 Homesteaders Way, Marion, MT 59925-9888 | 2018-07-09 |
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
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| 1386663516 | Keystone Marion, LLC | Psychiatric Residential Treatment Facility | 225 State St, Marion, VA 24354-3127 | 2006-07-19 |
| 1871953257 | St. Louis Jc Vamc | Psychiatric Residential Treatment Facility | 2401 W Main St, Marion, IL 62959-1188 | 2016-02-29 |
| 1962862342 | St. Louis Jc Vamc | Psychiatric Residential Treatment Facility | 2401 W Main St, Marion, IL 62959-1188 | 2016-02-29 |
| 1275732695 | Keystone Marion, LLC | Psychiatric Residential Treatment Facility | 225 State St, Marion, VA 24354-3127 | 2007-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1821444340 | Phoenix Mountain Collaborative Dba Explorations | Psychiatric Residential Treatment Facility | 119 S Hill Rd, Trout Creek, MT 59874-9634 | 2016-05-13 |
| 1578769980 | Clearview Horizon Inc | Psychiatric Residential Treatment Facility | 20 Bear Foot Ln, Heron, MT 59844-9522 | 2007-06-22 |
| 1306981238 | Kids Behavioral Health of Montana Inc | Psychiatric Residential Treatment Facility | 55 Basin Creek Rd, Butte, MT 59701-9704 | 2007-02-20 |
| 1912456856 | Reflections Academy, Inc. | Psychiatric Residential Treatment Facility | 171 Harlow Rd, Thompson Falls, MT 59873 | 2016-10-03 |
| 1255704508 | Montana Children's Home and Hospital | Psychiatric Residential Treatment Facility | 2755 Colonial Dr, Helena, MT 59601-4926 | 2015-11-09 |
| 1952740508 | Acadia Healthcare | Psychiatric Residential Treatment Facility | 55 Basin Creek Rd, Butte, MT 59701-9704 | 2013-06-17 |
| 1770921868 | Chrysalis | Psychiatric Residential Treatment Facility | 77 Trails End Rd, Eureka, MT 59917-9332 | 2013-06-11 |
| 1386836286 | Kids Behavioral Health of Montana | Psychiatric Residential Treatment Facility | 55 Basin Creek Rd, Butte, MT 59701-9704 | 2007-08-14 |
| 1558553453 | Kids Behavioral Health of Montana | Psychiatric Residential Treatment Facility | 55 Basin Creek Rd, Butte, MT 59701-9704 | 2007-08-14 |
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| 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.