SAGE MOUNTAIN HEALTH NPI 1881334605

NPI Information

SAGE MOUNTAIN HEALTH is an addiction medicine family medicine in Butte, MT. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. SAGE MOUNTAIN HEALTH NPI is 1881334605. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sage Mountain Health.

The provider's business location address is:

1341 HARRISON AVE STE 15
BUTTE, MT
ZIP 59701-801
Phone: (406) 249-2944

The provider's authorized official is Mikhail Joutovsky .
The authorized official title is Owner and has the following contact phone number (406) 299-2944.

The CLIA number assigned to this NPI record is 27D2280278 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/30/2022 and was last updated on 4/13/2022.

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:

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