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SUNBURST COMMUNITY SERVICE FOUNDATION INC NPI 1083947055


NPI Information

NPI: 1083947055
Provider Name: SUNBURST COMMUNITY SERVICE FOUNDATION, INC

Doing Business As: SUNBURSTS COMMUNITY SERVICE FOUNDATION, INC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
2282 HWY 93 S
SUITE 1
KALISPELL, MT
ZIP 59901
Phone: (406) 745-8721
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SUNBURST COMMUNITY SERVICE FOUNDATION, INC is a clinic center in Kalispell, MT. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SUNBURST COMMUNITY SERVICE FOUNDATION, INC NPI is 1083947055. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sunbursts Community Service Foundation, Inc.

The provider's business location address is:

2282 HWY 93 S
SUITE 1
KALISPELL, MT
ZIP 59901
Phone: (406) 745-8721
Fax: (406) 257-4054

The provider's authorized official is Kathy J Estes .
The authorized official title is Billing Supervisor and has the following contact phone number (406) 756-8721.

The enumeration date for this NPI number is 9/9/2009 and was last updated on 11/19/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)304MONTANANo
2251B00000XCase Management304MONTANANo
3251S00000XCommunity/Behavioral Health304MONTANANo
4261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
5261QM0850XClinic/CenterAdult Mental HealthNo
6261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
7261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
8261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1MT02338MEDICAIDMONTANA

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: 11/14/2023

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