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Contact Information

WESTERN MONTANA MENTAL HEALTH CENTER
1201 WYOMING ST
MISSOULA, MT59801-1727
 Phone: 406-532-8400
 Fax: 406-543-9316
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Substance Abuse Disorder Rehabilitation Facility

324500000X
 

Addiction Medicine

207RA0401X 11 Physician/Internal Medicine
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Rehabilitation, Substance Use Disorder

261QR0405X
Indicates primary specialty

NPI Profile & details for WESTERN MONTANA MENTAL HEALTH CENTER

NPI # 1548659113
LBN Legal business name WESTERN MONTANA MENTAL HEALTH CENTER
Authorized official JODI DALY - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/20/2015
Last updated 02/16/2018 - About 8 years ago
Identifiers
MT License # 13459
MT License # 90514
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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