MR. JIM CHRISTOPHER MARTINEZ (NPI# 1740552272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740552272 |
| Entity Type | Individual |
| Full Name | MR. JIM CHRISTOPHER MARTINEZ |
| Credential | LAC |
| Practice Address |
4880 Us Highway 93 S Kalispell MT 59901-7985 |
| Mailing Address |
Po Box 2521 Columbia Falls MT 59912-2521 |
| Practice Telephone | 4068572506 |
| Practice Fax Number | 4068572503 |
| Mailing Telephone | 4068853607 |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2012-01-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 998 | MT | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588798169 | Jim Martinez | Dentist | 3445 S Demaree St Ste A, Visalia, CA 93277-7013 | 2007-03-15 |
| 1396793295 | Jim P Martinez | Family Medicine | 6236 E Pima, Arizona Community Physicians PC, Tucson, AZ 85712 | 2006-05-04 |
| Street Address |
4880 US HIGHWAY 93 S |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901-7985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528305604 | Alternative Youth Care | Substance Abuse Rehabilitation Facility | 4880 Us Highway 93 S, Kalispell, MT 59901-7985 | 2013-01-10 |
| 1003172503 | Alternative Youth Care | Substance Abuse Rehabilitation Facility | 4880 Us Highway 93 S, Kalispell, MT 59901-7985 | 2012-04-09 |
| 1902170400 | Michael T Tones | Counselor | 4880 Us Highway 93 S, Kalispell, MT 59901-7985 | 2012-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226650 | Mountain Physical Therapy and Fitness Center LLC | Physical Medicine & Rehabilitation | 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 | 2020-05-15 |
| 1164058350 | Jessica Leeann Abell | Physical Therapist | 1825 Highway 93 S. Suite C, Kalispell, MT 59901 | 2020-03-19 |
| 1588216535 | Diversified Therapeutic Services, Pllc | Clinic/Center | 30 E Washinton St, Suite A, Kalispell, MT 59901 | 2019-07-10 |
| 1467986216 | Jill Shaver | Counselor | 285 2nd Avenue Wn, Suite #100, Kalispell, MT 59901 | 2017-04-19 |
| 1003270810 | Angela Otto | Counselor | 17 2nd St E Ste 204, Kalispell, MT 59901 | 2016-04-07 |
| 1548626989 | Pamela Greskowiak | Counselor | 2282 Hwy 93 South, Suite #1, Kalispell, MT 59901 | 2016-01-14 |
| 1063894921 | Joel Booth | Dentist | 690 N Meridian Rd Ste 106, Kalispell, MT 59901 | 2015-06-26 |
| 1982085841 | Heather Reddig | Specialist | 751 Snowberry Trail, Kalispell, MT 59901 | 2015-06-16 |
| 1497147193 | Patricia Greene Hall | Psychologist | 1035 1st Ave W Fl 3, Kalispell, MT 59901 | 2015-03-04 |
| 1720478886 | Lori Mariani | Social Worker | 1605 Danielson Road, Kalispell, MT 59901 | 2015-01-28 |
| Find all providers in zip 59901 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003172503 | Alternative Youth Care | Substance Abuse Rehabilitation Facility | 4880 Us Highway 93 S, Kalispell, MT 59901-7985 | 2012-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740764166 | Aspen Assessment & Counseling Services | Substance Abuse Rehabilitation Facility | 505 W Main St Ste 316, Lewistown, MT 59457-5703 | 2018-09-21 |
| 1043547383 | Family Solutions Network, Inc. | Substance Abuse Rehabilitation Facility | 31733 South Fork Rd, Troy, MT 59935 | 2009-11-06 |
| 1144372012 | Wilderness Alternative School, Inc | Substance Abuse Rehabilitation Facility | 200 Hubbart Dam Rd, Marion, MT 59925-9708 | 2007-01-18 |
| 1952464448 | Rocky Mountain Treatment Center | Substance Abuse Rehabilitation Facility | 920 4th Ave N, Great Falls, MT 59401-1514 | 2006-12-18 |
| 1497765150 | State of Montana | Substance Abuse Rehabilitation Facility | 2500 Continental Dr, Butte, MT 59701-6565 | 2006-08-08 |
| 1437529021 | Western Montana Mental Health Center | Substance Abuse Rehabilitation Facility | 1321 Wyoming St, Missoula, MT 59801-1725 | 2015-09-25 |
| 1285073403 | Rimrock Foundation | Substance Abuse Rehabilitation Facility | 1231 N 29th St, Billings, MT 59101-0122 | 2013-06-20 |
| 1902122427 | Fort Belknap Indian Community | Substance Abuse Rehabilitation Facility | 656 Agency Main St, Harlem, MT 59526 | 2010-04-08 |
| 1811210578 | White Sky Hope Center | Substance Abuse Rehabilitation Facility | 6850 Upper Box Elder Rd, Box Elder, MT 59521-9073 | 2010-03-10 |
| 1285854885 | Crystal Creek Lodge | Substance Abuse Rehabilitation Facility | Old Hospital Road #1, Browning, MT 59417-0450 | 2007-04-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. JIM CHRISTOPHER MARTINEZ.
| 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.