YELLOWSTONE BOYS AND GIRLS RANCH (NPI# 1104990373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104990373 |
| Entity Type | Organization |
| Organization Name | YELLOWSTONE BOYS AND GIRLS RANCH |
| Practice Address |
1732 S 72nd St W Billings MT 59106-3500 |
| Practice Telephone | 4066552100 |
| Practice Fax Number | 4066512783 |
| Mailing Telephone | 4066552100 |
| Mailing Fax Number | 4066512783 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2017-03-23 |
| Authorized Official Name | MR. MIKE CHAVERS (CEO) |
| Authorized Official Telephone | 4066552109 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 364S00000X | Clinical Nurse Specialist | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 323P00000X | Psychiatric Residential Treatment Facility | 10810 | MT | Residential Treatment Facilities |
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 10810 | MT | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 4104880 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720501570 | Yellowstone Boys and Girls Ranch | Clinic/Center | 1732 S 72nd St W, Billings, MT 59106 | 2017-07-24 |
| 1871031831 | Yellowstone Boys and Girls Ranch | Nurse Practitioner | 1732 S 72nd St W, Billings, MT 59106 | 2017-02-09 |
| 1306232673 | Yellowstone Boys and Girls Ranch | Local Education Agency (LEA) | 1732 S 72nd St W, Billings, MT 59106-3538 | 2015-04-13 |
| 1407245756 | Yellowstone Boys and Girls Ranch | Community/Behavioral Health | 3212 1st Ave S, Billings, MT 59101-3814 | 2015-01-09 |
| 1265556757 | Yellowstone Boys and Girls Ranch | Physician Assistant | 1732 S 72nd St W, Billings, MT 59106 | 2007-03-19 |
| 1174647663 | Yellowstone Boys and Girls Ranch | Case Management | 1732 S 72nd St W, Billings, MT 59106-3538 | 2007-03-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Yellowstone Boys and Girls Ranch Foundation Inc. | 2050 Overland Avenue, Billings, MT 59102 |
| Oklahoma Business Registrations | YELLOWSTONE BOYS AND GIRLS RANCH FOUNDATION, INC. | Po Box 80807, Billings, MT 59108-0807 |
| System for Award Management (SAM) Entities | YELLOWSTONE BOYS AND GIRLS RANCH, INC. | 1732 S 72nd St W, Billings, MT 59106-3538 |
| Street Address |
1732 S 72ND ST W |
| City | BILLINGS |
| State | MT |
| Zip Code | 59106-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659385383 | Jonathan Daniel Birnkrant | Psychiatry & Neurology | 1732 S 72nd St W, Yellowstone Boys and Girls Ranch, Billings, MT 59106-3500 | 2006-07-28 |
| 1043842396 | Kala Renee Ford | Counselor | 1732 S 72nd St W, Billings, MT 59106-3538 | 2020-02-05 |
| 1154894186 | Emily Aerts | Social Worker | 1732 S 72nd St W, Billings, MT 59106-3538 | 2019-01-02 |
| 1871075762 | Tiffany Kent | Social Worker | 1732 S 72nd St W, Billings, MT 59106-3538 | 2018-09-06 |
| 1548748296 | Victoria Marie Collier | Nurse Practitioner | 1732 S 72nd St W, Billings, MT 59106-3538 | 2018-08-04 |
| 1265930002 | Anne Young | Counselor | 1732 S 72nd St W, Billings, MT 59106-3538 | 2018-01-26 |
| 1376058271 | Linda Bragg | Counselor | 1732 S 72nd St W, Billings, MT 59106-3538 | 2017-12-13 |
| 1720501570 | Yellowstone Boys and Girls Ranch | Clinic/Center | 1732 S 72nd St W, Billings, MT 59106 | 2017-07-24 |
| 1477093854 | Becka Rae Eide | Counselor | 1732 S 72nd St W, Billings, MT 59106-3538 | 2017-03-03 |
| 1871031831 | Yellowstone Boys and Girls Ranch | Nurse Practitioner | 1732 S 72nd St W, Billings, MT 59106 | 2017-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548752389 | Athena Rae Martell | Counselor | 1732 72nd St. W., Billings, MT 59106 | 2018-06-06 |
| 1376057596 | Sarah Kathleen Dickey | Pharmacist | 133 N 5th St #1, Columbus, MT 59106 | 2017-11-27 |
| 1003246158 | Sara Ellen Hughes-zabawa | Social Worker | 5606 Bobby Jones Blvd, Billings, MT 59106 | 2013-11-26 |
| 1750678538 | Jesse Lane Gray | Dentist | 625 Herry Chapple St, Billings, MT 59106 | 2011-06-30 |
| 1659520252 | Northern Rockies Neuro-spine, PC | Neurological Surgery | 3611 Tommy Armour Circle, Billings, MT 59106 | 2008-09-18 |
| 1073656567 | Summit Oral Surgery and Implant Center | Dentist | 625 Henry Chapple, Billings, MT 59106 | 2007-02-14 |
| 1871831164 | Christine Kay Duda | Counselor | 1750 Ray of Hope Ln, Billings, MT 59106 | 2013-01-22 |
| 1063700722 | Fuller Family Medicine, PC | Internal Medicine | 4045 Avenue B, Billings, MT 59106 | 2011-07-15 |
| 1861727646 | Roderick Morrison Griffeth | Dentist | 625 Henry Chapple, Billings, MT 59106 | 2009-10-12 |
| 1083876478 | Brian Robert Ludwig | Dentist | 625 Henry Chapple, Billings, MT 59106 | 2008-06-27 |
| Find all providers in zip 59106 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093174500 | B W Caring Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1209 Mossman Dr, Billings, MT 59105-6001 | 2016-02-12 |
| 1467855619 | B W Caring Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1209 Mossman Dr, Billings, MT 59105-6001 | 2014-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113674 | Big Sky Academy | Residential Treatment Facility, Emotionally Disturbed Children | 12508 Cramer Creek Road, Clinton, MT 59825 | 2020-01-08 |
| 1205055878 | Youth Homes | Residential Treatment Facility, Emotionally Disturbed Children | 550 N California St, Missoula, MT 59802-3913 | 2007-04-24 |
| 1003932104 | Three Rivers Wilderness Programs, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 8977 Dry Creek Rd, Belgrade, MT 59714-8121 | 2007-03-21 |
| 1346495462 | Summit Ranch Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1605 Danielson Rd, Kalispell, MT 59901-7252 | 2008-11-18 |
| 1811176092 | Chrysalis School | Residential Treatment Facility, Emotionally Disturbed Children | 57 Trails End Rd, Eureka, MT 59917-9332 | 2007-10-24 |
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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.