RUBEN QUINTANA (NPI# 1386209401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386209401 |
| Entity Type | Individual |
| Full Name | RUBEN QUINTANA |
| Credential | ACLC |
| Practice Address |
302 1st St W Ste 203 Polson MT 59860-2602 |
| Mailing Address |
41001 Canyon View Dr Polson MT 59860-7671 |
| Practice Telephone | 4063192563 |
| Practice Fax Number | 4063192569 |
| Mailing Telephone | 4065527875 |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2019-10-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
BBH-LAC-LIC-3893 | MT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 41001 Canyon View Dr, Polson, MT 598607671 | 4065527875 |
| Street Address |
302 1ST ST W STE 203 |
| City | POLSON |
| State | MT |
| Zip Code | 59860-2602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598865131 | Milana Marie Marsenich | Counselor | 302 1st St W Ste 203, Polson, MT 59860-2602 | 2006-09-24 |
| 1912407198 | Shaunda Marie Albert | Counselor | 302 1st St W Ste 203, Polson, MT 59860-2602 | 2018-02-14 |
| 1023525771 | Willow Canyon Counseling Services | Counselor | 302 1st St W Ste 203, Polson, MT 59860-2602 | 2018-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679095020 | Ashley J Gilham | Registered Nurse | #5 4th Ave E., Polson, MT 59860 | 2017-07-07 |
| 1225585532 | St. Luke Community Hospital | Clinic/Center | 107 Ridgewater Dr., Polson, MT 59860 | 2016-09-02 |
| 1306202163 | Western Montana Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 7 13th Ave East, Polson, MT 59860 | 2016-01-11 |
| 1154730364 | Wanda L King | Dietitian, Registered | 6 Thirteenth Avenue East, Poslon, MT 59860 | 2014-08-13 |
| 1104255637 | Dacia Lee Antiste-fisher | Counselor | #5 4th Ave. E., Polson, MT 59860 | 2013-11-05 |
| 1154758134 | Richard Pierre | Pharmacy Technician | 5 4th Ave E., Polson, MT 59860 | 2013-10-04 |
| 1154755197 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 36318 Memory Lane, Polson, MT 59860 | 2013-08-27 |
| 1245582022 | Catherine D Addison | Registered Nurse | 5 4th Ave. East, Polson, MT 59860 | 2012-10-04 |
| 1114220787 | Erika Ann Weber | Social Worker | #5 4th Ave. E, Polson, MT 59860 | 2010-12-21 |
| 1942431473 | Lisa L. Scalpane | Counselor | 803 Main Street, Suite C, Polson, MT 59860 | 2009-07-31 |
| Find all providers in zip 59860 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528551538 | Kim Dalene Harding | Counselor | 35592 Rocky Point Rd, Polson, MT 59860-9254 | 2018-06-13 |
| 1407215577 | Faith Ann Tallwhiteman | Counselor | 1201 Main St Ste B, Polson, MT 59860-5328 | 2016-02-18 |
| 1104255637 | Dacia Lee Antiste-fisher | Counselor | #5 4th Ave. E., Polson, MT 59860 | 2013-11-05 |
| 1942431473 | Lisa L. Scalpane | Counselor | 803 Main Street, Suite C, Polson, MT 59860 | 2009-07-31 |
| 1518944917 | Kathe Mcgehee Randle | Counselor | 28 Litler Ln, Polson, MT 59860-9654 | 2005-12-27 |
| 1669026571 | Timothy Fox | Counselor | 802 Main St Ste C, Polson, MT 59860-3200 | 2019-07-29 |
| 1912407198 | Shaunda Marie Albert | Counselor | 302 1st St W Ste 203, Polson, MT 59860-2602 | 2018-02-14 |
| 1093258790 | April Brewer | Counselor | 802 Main St Ste C, Polson, MT 59860-3200 | 2016-11-29 |
| 1952634883 | Kristi Johnson | Counselor | 802 Main St, Suite C, Polson, MT 59860-3201 | 2009-09-10 |
| 1124160429 | Lesley E. Dubay | Counselor | 802 Main St Ste C, Polson, MT 59860-3200 | 2007-02-13 |
| Find all providers in POLSON | ||||
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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.