INTERMOUNTAIN DEACONESS HOME NPI 1518954106

NPI Information

NPI: 1518954106
Provider Name: INTERMOUNTAIN DEACONESS HOME

Doing Business As: INTERMOUNTAIN

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
500 S. LAMBORN ST.
HELENA, MT
ZIP 59601
Phone: (406) 442-7920
Get Directions

INTERMOUNTAIN DEACONESS HOME is a residential treatment facility emotionally disturbed children in Helena, MT. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. INTERMOUNTAIN DEACONESS HOME NPI is 1518954106. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Intermountain.

The provider's business location address is:

500 S. LAMBORN ST.
HELENA, MT
ZIP 59601-417
Phone: (406) 442-7920
Fax: (406) 442-7949

The provider's authorized official is Jennifer Williams .
The authorized official title is Cao and has the following contact phone number (406) 457-4822.

The enumeration date for this NPI number is 9/29/2005 and was last updated on 1/12/2024.

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	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	6560	MONTANA	No
2	251B00000X	Case Management				No
3	251S00000X	Community/Behavioral Health		0007148-001	MONTANA	No
4	251S00000X	Community/Behavioral Health		7148	MONTANA	No
5	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			No
6	320800000X	Community Based Residential Treatment Facility, Mental Illness		0007148-005	MONTANA	No
7	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		7148	MONTANA	No
8	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		0007148-005	MONTANA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	118301001	MEDICAID	WYOMING
2	SP516MT	MEDICAID	ALASKA
3	HS775PI	MEDICAID	ALASKA
4	OT287MT	MEDICAID	ALASKA
5	118301000	MEDICAID	WYOMING

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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