STATE OF MONTANA (NPI# 1366748147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366748147 |
| Entity Type | Organization |
| Organization Name | STATE OF MONTANA |
| Other Organization Name | CHILDREN'S SPECIAL HEALTH SERVICES |
| Practice Address |
1400 Broadway Rm A116 Helena MT 59620 |
| Mailing Address |
Po Box 202951 Helena MT 59620-2951 |
| Practice Telephone | 4064443529 |
| Practice Fax Number | 4064442750 |
| Mailing Telephone | 4064443529 |
| Mailing Fax Number | 4064442750 |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2011-01-27 |
| Authorized Official Name | MICHELE S O'DONNELL (BILLING AGENT) |
| Authorized Official Telephone | 4064443529 |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE OF MONTANA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BLUE CROSS BLUE SHIELD OF MONTANA | 92046 | 01 |
| MT | BLUE CROSS BLUE SHIELD OF MONTANA | 92056 | 01 |
| MT | 0260000 | 05 | |
| MT | BLUE CROSS BLUE SHIELD OF MONTANA | 99248 | 01 |
| Other Name | Type Code |
|---|---|
| Children's Special Health Services | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912120817 | State of Montana | Clinic/Center | 1400 Broadway Rm A116, Helena, MT 59620 | 2007-04-10 |
| 1326058207 | State of Montana | Intermediate Care Facility, Mentally Retarded | 310 Fourth Avenue, Boulder, MT 59632-0087 | 2006-08-09 |
| 1497765150 | State of Montana | Substance Abuse Rehabilitation Facility | 2500 Continental Dr, Butte, MT 59701-6565 | 2006-08-08 |
| 1639475411 | State of Montana | Clinic/Center | 1400 Broadway Rm A116, Helena, MT 59620 | 2011-01-27 |
| 1326114620 | State of Montana | Clinical Medical Laboratory | 1400 E Broadway St, Room B105, Helena, MT 59601-5231 | 2006-11-28 |
| 1528079720 | State of Montana | Intermediate Care Facility, Mental Illness | 800 Casino Creek Dr, Lewistown, MT 59457-3359 | 2006-08-11 |
| 1356351183 | State of Montana | Skilled Nursing Facility | 400 Veterans Drive, Columbia Falls, MT 59912-0250 | 2006-08-08 |
| 1932116340 | State of Montana | Psychiatric Hospital | 300 Garnet Way, Warm Springs, MT 59756-0300 | 2006-08-01 |
| Street Address |
1400 BROADWAY RM A116 |
| City | HELENA |
| State | MT |
| Zip Code | 59620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912120817 | State of Montana | Clinic/Center | 1400 Broadway Rm A116, Helena, MT 59620 | 2007-04-10 |
| 1639475411 | State of Montana | Clinic/Center | 1400 Broadway Rm A116, Helena, MT 59620 | 2011-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700812 | Daniel A. Maddox | Psychologist | 100 Creekwood Ln, Helena, AL 35080-3272 | 2020-11-05 |
| 1447850243 | Amber Boone | Registered Nurse | 1267 Old Cahaba Trce, Helena, AL 35080-7057 | 2020-10-30 |
| 1427657907 | Brittany Hood | Registered Nurse | 242 Chadwick Ln, Helena, AL 35080-3136 | 2020-10-25 |
| 1720687577 | Magdalene M Collins | Nurse Practitioner | 2541 Overlook Blvd, Helena, MT 59601-1413 | 2020-10-22 |
| 1457950214 | Tyree Leigh Dutton | Massage Therapist | 639 Helena Ave Ste B, Helena, MT 59601-3607 | 2020-10-22 |
| 1881292845 | Matthew Thomas Rurka | Dentist | 4685 Highway 17 Ste C, Helena, AL 35080-3560 | 2020-10-13 |
| 1205433620 | Sarah Marie Yanker | Counselor | 5797 Vulk Dr, Helena, MT 59602-8999 | 2020-10-08 |
| 1821604042 | Amanda Rose Knorr | Massage Therapist | 900 N Montana Ave Unit B1c, Helena, MT 59601-3845 | 2020-09-22 |
| 1881208957 | Tammara Ann Rosenleaf | Counselor | 25 South Ewing St, Suite 525, Helena, MT 59601 | 2020-09-04 |
| 1518571686 | Megan Gittings Fnp-c Pllc | Nurse Practitioner | 55 W 14th St Ste 102, Helena, MT 59601-3387 | 2020-09-04 |
| Find all providers in HELENA | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912120817 | State of Montana | Clinic/Center | 1400 Broadway Rm A116, Helena, MT 59620 | 2007-04-10 |
| 1639475411 | State of Montana | Clinic/Center | 1400 Broadway Rm A116, Helena, MT 59620 | 2011-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255620928 | Missoula Oral Surgery | Clinic/Center | 3020 S Reserve St, Suite C, Missoula, MT 59801-7644 | 2011-04-04 |
| 1043373012 | Glacier Oral and Maxillofacial Surgery PC | Clinic/Center | 711 13th Str E, Ste 101, Whitefish, MT 59937 | 2006-12-19 |
| 1922103597 | Billings Imaging | Clinic/Center | 152 S 32nd St W, Suite B, Billings, MT 59102-6848 | 2006-09-14 |
| 1811395882 | James A Jerman Dds Pllc | Clinic/Center | 22 2nd Ave W, Suite 1000, Kalispell, MT 59901-4466 | 2014-12-08 |
| 1801093463 | Billings Oral Surgery, LLC | Clinic/Center | 152 S 32nd St W, Suite B, Billings, MT 59102-6848 | 2007-06-28 |
| 1134286883 | Facial Plastic & Reconstructive Surgery Montana PC | Clinic/Center | 805 S Reserve St, Missoula, MT 59801-2104 | 2007-01-02 |
Please comment or provide details below to improve the information on STATE OF MONTANA.
| 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.