SUNBURST HEALTH LLC NPI 1093297764

NPI Information

NPI: 1093297764
Provider Name: SUNBURST HEALTH LLC

Doing Business As: CEDAR CREEK INTEGRATED HEALTH

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
109 1ST AVE
ST IGNATIUS, MT
ZIP 59865
Phone: (406) 745-3681
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SUNBURST HEALTH LLC is a mental health (including community mental health center) clinic center in St Ignatius, MT. SUNBURST HEALTH LLC NPI is 1093297764. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cedar Creek Integrated Health.

The provider's business location address is:

109 1ST AVE
ST IGNATIUS, MT
ZIP 59865-748
Phone: (406) 745-3681
Fax: (406) 745-3686

The provider's authorized official is Jordan Stow .
The authorized official title is Credentialing and has the following contact phone number (406) 381-4196.

The enumeration date for this NPI number is 8/30/2018 and was last updated on 7/28/2023.

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	Primary
1	101Y00000X	Counselor		No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
3	101YM0800X	Counselor	Mental Health	No
4	101YP2500X	Counselor	Professional	No
5	104100000X	Social Worker		No
6	1041C0700X	Social Worker	Clinical	No
7	175T00000X	Peer Specialist		No
8	251B00000X	Case Management		No
9	251S00000X	Community/Behavioral Health		No
10	261Q00000X	Clinic/Center		No
11	261QM0850X	Clinic/Center	Adult Mental Health	No
12	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
13	363L00000X	Nurse Practitioner		No
14	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
15	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	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: 4/28/2024

NPI Synchronization or Removal

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