BEAR PAW RECOVERY CENTER (NPI# 1033762992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033762992 |
| Entity Type | Organization |
| Organization Name | BEAR PAW RECOVERY CENTER |
| Practice Address |
605 3rd Ave Havre MT 59501-3917 |
| Practice Telephone | 4063991757 |
| Mailing Telephone | 4063991757 |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2019-10-10 |
| Authorized Official Name | JESSE BERGREN (OWNER) |
| Authorized Official Telephone | 4063991757 |
| Authorized Official Credential | LAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 343 | 05 |
| Street Address |
605 3RD AVE |
| City | HAVRE |
| State | MT |
| Zip Code | 59501-3917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699185322 | Jesse J Bergren | Counselor | 605 3rd Ave, Havre, MT 59501-3917 | 2014-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718184 | Health Services Montana LLC | Hearing Instrument Specialist | Holiday Village Mall 1753 Hwy 2 Nw, Ste 45, Havre, MT 59501 | 2020-10-20 |
| 1487140398 | Matthew Pett | Registered Nurse | Northern Montana Hospital, 30 13th St, Havre, MT 59501 | 2018-07-03 |
| 1528586146 | Michaela Sarah Whitmore | Physician Assistant | 521 4th Street, Bullhook Community Health Center, Havre, MT 59501 | 2017-09-04 |
| 1902324635 | Abrianna Lee Johnson | Nurse Practitioner | 30 13th Street, P.o. Box 1231, Havre, MT 59501 | 2017-09-01 |
| 1326584608 | Darlene Jo Sellers | Counselor | 642 North 6th Street, Havre, MT 59501 | 2017-01-11 |
| 1205245230 | Donald Harper | Pharmacist | 3510 Highway 2 West, Havre, MT 59501 | 2014-08-04 |
| 1912287152 | Tanya Mccullough | Registered Nurse | 20 13 St West, Havre, MT 59501 | 2011-08-19 |
| 1093952095 | Larry Wayne Fangsrud | Pharmacist | 3180 Hwy 2 W, Kmart Pharmacy, Havre, MT 59501 | 2009-01-13 |
| 1710124706 | Cindy Lee Brandon | Pharmacist | 3180 Hwy 2 West, Havre, MT 59501 | 2009-01-13 |
| 1437287406 | Janet M Trethewey | Specialist/Technologist | 300 W 11 St, Msu-northern, Havre, MT 59501 | 2007-03-01 |
| Find all providers in zip 59501 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497890271 | Hi-line Recovery | Clinic/Center | 220 3rd Ave, Suite 110, Havre, MT 59501-3554 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902390651 | New Directions Counseling | Clinic/Center | 2116 Broadwater Ave Ste 205, Billings, MT 59102-4764 | 2018-06-17 |
| 1396235818 | Better Times Recovery Services LLC | Clinic/Center | 1925 Grand Ave Ste 103, Billings, MT 59102 | 2018-05-10 |
| 1942714902 | Patricia Flynn, Lac | Clinic/Center | 1629 Avenue D Ste B4, Billings, MT 59102-3071 | 2017-11-28 |
| 1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
| 1720513674 | Crow Nation Recovery Center | Clinic/Center | 101 Baacheeitche, Crow Agency, MT 59022 | 2017-04-28 |
| 1386948453 | Misfits, LLC | Clinic/Center | 1111 14th St S Ste C, Great Falls, MT 59405-4656 | 2011-01-04 |
| 1487818928 | New Frontier Addiction Services, Inc. | Clinic/Center | 118 E 7th St Ste 2e, Anaconda, MT 59711-2953 | 2008-07-14 |
| 1053521633 | Alcohol & Drug Services of Gallatin County | Clinic/Center | 2310 N 7th Ave, Bozeman, MT 59715-2550 | 2007-05-23 |
| 1285769786 | Missoula Urban Indian Health Center, Inc. | Clinic/Center | 830 W Central Ave, Missoula, MT 59801-7931 | 2007-02-23 |
| 1629114624 | Chouteau County | Clinic/Center | 1308 Franklin Street, Fort Benton, MT 59442-0459 | 2007-01-29 |
| 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.