SUPERIOR HIGH SCHOOL (NPI# 1013105006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013105006 |
| Entity Type | Organization |
| Organization Name | SUPERIOR HIGH SCHOOL |
| Practice Address |
410 Arizona Avenue Superior MT 59872-0400 |
| Mailing Address |
Po Box 400 Superior MT 59872-0400 |
| Practice Telephone | 4068223600 |
| Mailing Telephone | 4068223600 |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2007-10-04 |
| Authorized Official Name | WILLIAM WOODFORD (SUPERINTENDENT) |
| Authorized Official Telephone | 4068223600 |
| Authorized Official Credential | MED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Street Address |
410 ARIZONA AVENUE |
| City | SUPERIOR |
| State | MT |
| Zip Code | 59872-0400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265943237 | Tyler Quintinn Steinebach | Emergency Medical Technician, Intermediate | 502 Main Avenue, Superior, MT 59872 | 2017-10-18 |
| 1386160976 | Leann Joyce Anderson | Counselor | 304 4th Ave E, Superior, MT 59872 | 2017-08-16 |
| 1386043289 | Charles D. Avery | Massage Therapist | 120 Second Ave E., Superior, MT 59872 | 2014-08-15 |
| 1811208929 | Brenda Kh Reynolds | Massage Therapist | 400 Tami Dr E, Superior, MT 59872 | 2010-06-24 |
| 1588852578 | Superior Elementary School | Community Based Residential Treatment Facility, Mental Illness | 1003 5th Avenue East, Superior, MT 59872 | 2007-10-04 |
| 1285702670 | Dana W Austin | Physical Therapist | 406 2nd Avenue East, Superior, MT 59872 | 2006-12-01 |
| 1508877291 | Victor Labarre Stampley | Social Worker | 405 Brooklyn Avenue, Superior, MT 59872 | 2006-08-10 |
| 1235178906 | Superior Volunteer Fire Company Inc | Ambulance | 310 River St, Superior, MT 59872 | 2006-06-06 |
| 1376637470 | Missoula Community Health Services, Inc. | Family Medicine | 1208 6th Ave E, Superior, MT 59872 | 2006-10-03 |
| 1578823589 | Stewart Andrew Mccracken | Counselor | 491 Shaw Gulch Ln, Superior, MT 59872-0124 | 2012-05-23 |
| Find all providers in zip 59872 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588852578 | Superior Elementary School | Community Based Residential Treatment Facility, Mental Illness | 1003 5th Avenue East, Superior, MT 59872 | 2007-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710450044 | Center for Mental Health | Community Based Residential Treatment Facility, Mental Illness | 626 Central Ave W, Great Falls, MT 59404-2851 | 2019-01-09 |
| 1215488325 | Ranch for Kids Project, Inc. | Community Based Residential Treatment Facility, Mental Illness | 144 Gateway Street, Rexford, MT 59930 | 2016-10-24 |
| 1811357767 | New Horizon's Youth Ranch | Community Based Residential Treatment Facility, Mental Illness | 6442 W Kootenai Rd, Rexford, MT 59930-9440 | 2016-03-03 |
| 1306202163 | Western Montana Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 7 13th Ave East, Polson, MT 59860 | 2016-01-11 |
| 1124499660 | Gateway Freedom Ranch | Community Based Residential Treatment Facility, Mental Illness | 111 Glen Lake Dr, Eureka, MT 59917-9680 | 2015-10-09 |
| 1316337264 | Western Montana Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 45 East 16th Street, Helena, MT 59601 | 2015-01-30 |
| 1568887404 | Selkirk Outdoor Leadership & Education (sole), Inc | Community Based Residential Treatment Facility, Mental Illness | 121 Wisconsin Ave Ste 101, Whitefish, MT 59937-2304 | 2014-03-02 |
| 1760734149 | Rae Ann Moxley | Community Based Residential Treatment Facility, Mental Illness | 459 Conifer Rd, Libby, MT 59923-2966 | 2012-10-09 |
| 1881973816 | Western Montana Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 1273 Dakota St, Missoula, MT 59801-1709 | 2011-08-09 |
| 1518246552 | Western Montana Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 412 Windward Way, Kalispell, MT 59901-2680 | 2011-08-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.