National Provider Identifier Database

WESTERN MONTANA MENTAL HEALTH CENTER
Mental Health (Including Community Mental Health Center)

Contact Information

WESTERN MONTANA MENTAL HEALTH CENTER
1321 WYOMING ST
MISSOULA, MT  59801-1725
Phone: 406-532-8400
Fax: 406-224-4402
Website:
Specialty Taxonomy Code
* Mental Health (Including Community Mental Health Center) 261QM0801X
Adolescent and Children Mental Health 261QM0855X
Adult Mental Health 261QM0850X
Community/Behavioral Health 251S00000X
Psychiatric Residential Treatment Facility 323P00000X
Rehabilitation, Substance Use Disorder 261QR0405X
Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for WESTERN MONTANA MENTAL HEALTH CENTER

NPI Number 1437529021
Legal business name
LBN		 WESTERN MONTANA MENTAL HEALTH CENTER
Authorized official LEVI ANDERSON - (CEO)
Entity Organization
Organization subpart No
Enumeration date 09/25/2015
Last updated 08/29/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • MT License #: 12652
  • MT License #: 13459
  • MT Medicaid: 047379
  • MT Medicaid: 141232
  • MT Medicaid: 255425
  • MT Medicaid: 290108
  • MT Medicaid: 320177
  • MT Medicaid: 320385
  • MT Medicaid: 320424
  • MT Medicaid: 352248
  • MT Medicaid: 439161
  • MT Medicaid: 491419
  • MT Medicaid: 502316
  • MT Medicaid: 601647
  • MT Other: 000008376 MEDICARE PTAN

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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