WESTERN MONTANA MENTAL HEALTH CENTER NPI 1548659113

NPI Information

NPI: 1548659113
Provider Name: WESTERN MONTANA MENTAL HEALTH CENTER
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1201 WYOMING ST
MISSOULA, MT
ZIP 59801
Phone: (406) 532-8400
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WESTERN MONTANA MENTAL HEALTH CENTER is a substance abuse rehabilitation facility in Missoula, MT. The provider is 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. WESTERN MONTANA MENTAL HEALTH CENTER NPI is 1548659113. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1201 WYOMING ST
MISSOULA, MT
ZIP 59801-727
Phone: (406) 532-8400
Fax: (406) 543-9316

The provider's authorized official is Jodi Daly .
The authorized official title is Ceo and has the following contact phone number (406) 532-8400.

The enumeration date for this NPI number is 1/20/2015 and was last updated on 2/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical	13459	MONTANA	No
2	1041C0700X	Social Worker	Clinical	90514	MONTANA	No
3	207RA0401X	Internal Medicine	Addiction Medicine	13459	MONTANA	No
4	207RA0401X	Internal Medicine	Addiction Medicine	90514	MONTANA	No
5	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	90514	MONTANA	No
6	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	13459	MONTANA	No
7	324500000X	Substance Abuse Rehabilitation Facility		13459	MONTANA	Yes
8	363A00000X	Physician Assistant		13459	MONTANA	No
9	363A00000X	Physician Assistant		90514	MONTANA	No
10	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	13459	MONTANA	No
11	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	90514	MONTANA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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