MASC LLC (NPI# 1265066500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265066500 |
| Entity Type | Organization |
| Organization Name | MASC LLC |
| Practice Address |
491 Shaw Gulch Lane Superior MT 59872-0214 |
| Mailing Address |
Po Box 124 Superior MT 59872-0124 |
| Practice Telephone | 4063046371 |
| Mailing Telephone | 4063046782 |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-02-26 |
| Authorized Official Name | MRS. MICHELLE S MCCRACKEN (BUSINESS MANAGER) |
| Authorized Official Telephone | 4063046782 |
| Authorized Official Credential | CPC-A, COC-A, BH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
491 SHAW GULCH LANE |
| City | SUPERIOR |
| State | MT |
| Zip Code | 59872-0214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265943237 | Tyler Quintinn Steinebach | Emergency Medical Technician, Intermediate | 502 Main Avenue, Superior, MT 59872 | 2017-10-18 |
| 1386160976 | Leann Joyce Anderson | Counselor | 304 4th Ave E, Superior, MT 59872 | 2017-08-16 |
| 1386043289 | Charles D. Avery | Massage Therapist | 120 Second Ave E., Superior, MT 59872 | 2014-08-15 |
| 1811208929 | Brenda Kh Reynolds | Massage Therapist | 400 Tami Dr E, Superior, MT 59872 | 2010-06-24 |
| 1588852578 | Superior Elementary School | Community Based Residential Treatment Facility, Mental Illness | 1003 5th Avenue East, Superior, MT 59872 | 2007-10-04 |
| 1285702670 | Dana W Austin | Physical Therapist | 406 2nd Avenue East, Superior, MT 59872 | 2006-12-01 |
| 1508877291 | Victor Labarre Stampley | Social Worker | 405 Brooklyn Avenue, Superior, MT 59872 | 2006-08-10 |
| 1235178906 | Superior Volunteer Fire Company Inc | Ambulance | 310 River St, Superior, MT 59872 | 2006-06-06 |
| 1376637470 | Missoula Community Health Services, Inc. | Family Medicine | 1208 6th Ave E, Superior, MT 59872 | 2006-10-03 |
| 1578823589 | Stewart Andrew Mccracken | Counselor | 491 Shaw Gulch Ln, Superior, MT 59872-0124 | 2012-05-23 |
| Find all providers in zip 59872 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518580182 | Michele Denise Perron | Counselor | 912 Baxter Ave, Superior, WI 54880-1735 | 2020-05-18 |
| 1386160976 | Leann Joyce Anderson | Counselor | 304 4th Ave E, Superior, MT 59872 | 2017-08-16 |
| 1578090049 | Barbara Titus | Counselor | 1810 Belknap St, Superior, WI 54880-2595 | 2017-05-16 |
| 1346636115 | Debra Rybos | Counselor | 2120 John Ave, Superior, WI 54880-4923 | 2015-04-08 |
| 1083036305 | Stephanie Quick | Counselor | 405 Brooklyn St, Superior, MT 59872-9607 | 2014-01-07 |
| 1578823589 | Stewart Andrew Mccracken | Counselor | 491 Shaw Gulch Ln, Superior, MT 59872-0124 | 2012-05-23 |
| 1245558840 | Choices, Inc. | Counselor | 304 4th Ave. E, Superior, MT 59872-0622 | 2010-05-07 |
| 1770716771 | Rae Jean Bergner | Counselor | 1500 N 34th St Ste 200, Superior, WI 54880-4477 | 2009-08-25 |
| 1831371350 | Elizabeth B Byler | Counselor | 1531 Hughitt Ave, Superior, WI 54880-2855 | 2007-11-27 |
| 1457576779 | Joseph Walter Knotts | Counselor | 1926 E 2nd St, Apt. 8, Superior, WI 54880-3578 | 2007-04-13 |
| Find all providers in SUPERIOR | ||||
Please comment or provide details below to improve the information on MASC LLC.
| 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.