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SUNBURST COMMUNITY SERVICE FOUNDATION INC NPI 1083947055

NPI Profile

NPI: 1083947055

Provider Name: SUNBURST COMMUNITY SERVICE FOUNDATION, INC

Doing Business As: SUNBURSTS COMMUNITY SERVICE FOUNDATION, INC

Classification: Counselor - 101YA0400X

Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
109 1ST AVENUE
ST IGNATIUS, MT
ZIP 59865

Phone: (406) 745-3681

SUNBURST COMMUNITY SERVICE FOUNDATION, INC is an addiction counselor in St Ignatius, MT. SUNBURST COMMUNITY SERVICE FOUNDATION, INC NPI is 1083947055. The provider is registered as an organization entity type.
The provider Is Doing Business As Sunbursts Community Service Foundation, Inc.

The provider's business location address is:

109 1ST AVENUE
ST IGNATIUS, MT
ZIP 59865
Phone: (406) 745-3681
Fax: (406) 745-3686

The provider's authorized official is Colette M Moore .
The authorized official title is Account Manager and has the following contact phone number (406) 745-3681.

The enumeration date for this NPI number is 9/9/2009 and was last updated on 6/29/2016.

Map - Location of Practice

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 251S00000X Community/Behavioral Health 304 MONTANA No
2 251B00000X Case Management 304 MONTANA No
3 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) No
4 261QM0850X Clinic/Center Adult Mental Health No
5 261QM0855X Clinic/Center Adolescent and Children Mental Health No
6 101YA0400X Counselor Addiction (Substance Use Disorder) 304 MONTANA Yes

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: 11/12/2017