ALLIANCE OUTREACH SERVICES (NPI# 1750404661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750404661 |
Entity Type | Organization |
Organization Name | ALLIANCE OUTREACH SERVICES |
Practice Address |
512 Capital Heights Dr Boulder MT 59632 |
Mailing Address |
Po Box 464 Boulder MT 59632-0464 |
Practice Telephone | 4062254258 |
Practice Fax Number | 4062253168 |
Mailing Telephone | 4062254258 |
Mailing Fax Number | 4062253168 |
Enumeration Date | 2007-04-06 |
Last Update Date | 2020-08-22 |
Authorized Official Name | JOHN BARRAGATO (CO-OWNER) |
Authorized Official Telephone | 4062254258 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
Street Address |
512 CAPITAL HEIGHTS DR |
City | BOULDER |
State | MT |
Zip Code | 59632 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619438074 | Wendie J. Vanderwater | Social Worker | 110 Venture Way, Boulder, MT 59632 | 2019-03-28 |
1487029336 | Kristin Nicole Fearon | Social Worker | 105 Venture Way, Boulder, MT 59632 | 2015-12-03 |
1790171494 | Kayla M. Beadle-reinhardt | Social Worker | 105 Venture Ave, Boulder, MT 59632 | 2015-04-09 |
1760504310 | Jeni E Leary | Social Worker | 40 Hanging Wall Road, Boulder, MT 59632 | 2007-04-04 |
1770080426 | Jessica Nicole Cole | Counselor | 105 Venture Way, Boulder, MT 59632 | 2018-04-10 |
1679097638 | Amy Sue Braaksma | Nurse Practitioner | 214 S. Main St., Boulder, MT 59632 | 2017-08-01 |
1316353105 | Veronica J Champer | Nurse Practitioner | 214 South Main Street, Boulder, MT 59632 | 2014-07-01 |
1891830931 | Vermon Craig Barney | Dentist | 211 North Main, Boulder, MT 59632 | 2007-02-20 |
1588722383 | Jefferson County Health Department | Public Health or Welfare | 214 South Main Street, Boulder, MT 59632 | 2006-12-05 |
1043396054 | Elkhorn Mountain Health Services Inc | Family Medicine | 214 South Main, Boulder, MT 59632 | 2006-10-31 |
Find all providers in zip 59632 |
Taxonomy Code | 261QD1600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Developmental Disabilities |
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
Notes: [7/1/2003: new] |
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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.