STATE OF MONTANA (NPI# 1528079720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528079720 |
| Entity Type | Organization |
| Organization Name | STATE OF MONTANA |
| Other Organization Name | MONTANA MENTAL HEALTH NURSING CARE CENTER |
| Practice Address |
800 Casino Creek Dr Lewistown MT 59457-3359 |
| Mailing Address |
111 N Sanders St Rm 105 P O Box 6429 Helena MT 59601-4520 |
| Practice Telephone | 4065387451 |
| Practice Fax Number | 4065382863 |
| Mailing Telephone | 4064444497 |
| Mailing Fax Number | 4064443082 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2012-05-30 |
| Authorized Official Name | MRS. TEDDI EVERETT (FISCAL MANAGER) |
| Authorized Official Telephone | 4064444497 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310500000X | Intermediate Care Facility, Mental Illness | 10746 | MT | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 57-2676 | 05 | |
| MT | 57-2546 | 05 | |
| MT | 57-0197 | 05 | |
| MT | 57-0414 | 05 |
| Other Name | Type Code |
|---|---|
| Montana Mental Health Nursing Care Center | Doing Business As Name - 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 |
| 1366748147 | State of Montana | Clinic/Center | 1400 Broadway Rm A116, Helena, MT 59620 | 2011-01-27 |
| 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 |
| 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 |
800 CASINO CREEK DR |
| City | LEWISTOWN |
| State | MT |
| Zip Code | 59457-3359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558343202 | Montana Mental Health Nursing Care Center | Pharmacy | 800 Casino Creek Dr, Lewistown, MT 59457-3359 | 2005-11-17 |
| 1700955580 | Ruth Ann Harbour | Pharmacist | 800 Casino Creek Dr, Lewistown, MT 59457-3359 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437525136 | Tamera D Klapwyk | Counselor | 212 Wendell, Lewistown, MT 59457 | 2015-08-17 |
| 1093119703 | Jodi Kindzerski | Massage Therapist | 120 Wunderlin Ste 4, Lewiston, MT 59457 | 2014-10-09 |
| 1386798783 | James Ben Scott | Dentist | 418 West Broadway, Lewistown, MT 59457 | 2007-01-22 |
| 1740275288 | Kismet Lwt, LLC | Physical Therapist | 402 Summit Ave, Lewistown, MT 59457 | 2005-09-12 |
| 1073053492 | Andrew Malak | Pharmacist | 117 W Janeaux St, Lewistown, MT 59457 | 2017-03-03 |
| 1144670191 | Paige Nash | Optometrist | 119 E Main St, Lewistown, MT 59457 | 2016-06-20 |
| 1740325612 | James R Kolstad | Dentist | 418 West Broadway, Lewistown, MT 59457 | 2007-02-20 |
| 1275673618 | Steve Marquis Mosby | Dentist | 310 Wendell Avenue, Suite 3, Lewistown, MT 59457 | 2007-02-07 |
| 1306935366 | Robert 'denny' D Irwin | Counselor | 212 Wendell Ave, Lewistown, MT 59457 | 2006-10-11 |
| 1497868814 | Central Montana Medical Facilities, Inc. | Internal Medicine | 408 Wendell Ave, Lewistown, MT 59457 | 2006-08-17 |
| Find all providers in zip 59457 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
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.