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YELLOWSTONE BOYS AND GIRLS RANCH NPI 1720501570


NPI Information

NPI: 1720501570
Provider Name: YELLOWSTONE BOYS AND GIRLS RANCH

Other Name: CHEMICAL DEPENDENCY

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
1732 S 72ND ST W
BILLINGS, MT
ZIP 59106
Phone: (406) 655-2100
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YELLOWSTONE BOYS AND GIRLS RANCH is a rehabilitation and substance use disorder clinic center in Billings, MT. YELLOWSTONE BOYS AND GIRLS RANCH NPI is 1720501570. The provider is registered as an organization entity type.
The provider Other Name Is Chemical Dependency.

The provider's business location address is:

1732 S 72ND ST W
BILLINGS, MT
ZIP 59106
Phone: (406) 655-2100

The provider's authorized official is Mike Chavers .
The authorized official title is Ceo and has the following contact phone number (406) 655-2100.

The enumeration date for this NPI number is 7/24/2017 and was last updated on 6/15/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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
1177854MEDICAIDMONTANA
2177762MEDICAIDMONTANA

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

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