PRAIRIE HILLS RECOVERY CENTER (NPI# 1043749237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043749237 |
Entity Type | Organization |
Organization Name | PRAIRIE HILLS RECOVERY CENTER |
Practice Address |
623 N Central Ave Sidney MT 59270-4216 |
Mailing Address |
Po Box 626 Sidney MT 59270-0626 |
Practice Telephone | 4064883001 |
Practice Fax Number | 4064883003 |
Mailing Telephone | 4064883001 |
Mailing Fax Number | 4064883003 |
Enumeration Date | 2017-06-09 |
Last Update Date | 2017-06-26 |
Authorized Official Name | KAYLA ROSE ANDERSON (OWNER/LAC) |
Authorized Official Telephone | 4064883001 |
Authorized Official Credential | LAC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | LICENSED ADDICTION COUNSELOR CERTIFICATE | 2647 | 01 |
MT | 307 | 05 |
Street Address |
623 N CENTRAL AVE |
City | SIDNEY |
State | MT |
Zip Code | 59270-4216 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033582861 | Kayla Anderson | Counselor | 623 N Central Ave, Sidney, MT 59270-4216 | 2015-11-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104042316 | Eagle Life Chiropractic PC | Chiropractor | 12019 Hwy 16, Sidney, MT 59270 | 2007-04-17 |
1790831444 | County of Richland | Public Health or Welfare | 1201 West Holly St., Suite #1, Sidney, MT 59270 | 2007-01-26 |
1407929524 | Rajohn Karanjai | Internal Medicine | 214 14th Ave Sw Ste 110, Sidney, MT 59270 | 2006-11-16 |
1740326859 | Orin Pete Council | Family Medicine | 214 14th Ave Sw, Suite 104, Sidney, MT 59270 | 2007-01-29 |
1972681831 | Edward Lewis Pierce | Internal Medicine | 214 14th Ave Sw, Suite 112, Sidney, MT 59270 | 2006-11-01 |
1902980907 | Edward Patrick Bergin | Surgery | 214 14th Ave Sw, Suite 105, Sidney, MT 59270 | 2006-10-25 |
1275616104 | Brett Russell Bennion | Ophthalmology | 214 14th Ave Sw, Suite 101, Sidney, MT 59270 | 2006-10-23 |
1770540254 | Jennifer Adams | Radiology | 216 14th Ave Sw, Sidney, MT 59270 | 2006-04-27 |
1497743959 | Sidney Health Center | Durable Medical Equipment & Medical Supplies | 214 14th Ave Sw, Sidney, MT 59270 | 2005-10-10 |
1760940027 | Sarah Ann Perrault | Counselor | 1405 4th St Sw Ste 2, Sidney, MT 59270-3515 | 2019-03-06 |
Find all providers in zip 59270 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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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 |
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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.