CRYSTAL CREEK LODGE (NPI# 1285854885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285854885 |
| Entity Type | Organization |
| Organization Name | CRYSTAL CREEK LODGE |
| Practice Address |
Old Hospital Road #1 Browning MT 59417-0450 |
| Mailing Address |
Old Hospital Road #1 P.o. Box 450 Browning MT 59417-0450 |
| Practice Telephone | 4063386330 |
| Practice Fax Number | 4063387660 |
| Mailing Telephone | 4063386330 |
| Mailing Fax Number | 4063387660 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PATRICK EDWARD CALF LOOKING (DIRECTOR) |
| Authorized Official Telephone | 4063386330 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 10530 | MT | Residential Treatment Facilities |
| Street Address |
OLD HOSPITAL ROAD #1 |
| City | BROWNING |
| State | MT |
| Zip Code | 59417-0450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437379054 | Patrick Edward Calf Looking | Counselor | Old Hospital Road #1, Browning, MT 59417-0450 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801437397 | Journey To Recovery Center | Counselor | 109 N. Public Square, Browning, MT 59417 | 2019-10-05 |
| 1447809488 | Marilyn Rhodes | Counselor | 850 North Piegan Street, Browning, MT 59417 | 2019-09-11 |
| 1639727829 | Annette Marie Wells | Counselor | 807 North Piegan Street, Browning, MT 59417 | 2019-08-30 |
| 1104392778 | Patricia Youngrunningcrane | Counselor | 730 Hospital Hill, Browning, MT 59417 | 2018-10-22 |
| 1821500976 | Kevin T. Meighan | Registered Nurse | 760 Government Cricle, Browning, MT 59417 | 2017-10-30 |
| 1104213362 | Diana Trombley | Registered Nurse | 760 Hospital Drive, Browning, MT 59417 | 2015-04-24 |
| 1992044671 | Chrprogram | Non-emergency Medical Transport (VAN) | 201 1st Ave N.e., Browning, MT 59417 | 2013-01-31 |
| 1508155938 | Karen Sue Beasley | Registered Nurse | 760 Hospital Road, Browning, MT 59417 | 2011-04-06 |
| 1003048299 | Crystal Rose Evans | Counselor | 138 East Boundary Street, Browning, MT 59417 | 2009-08-20 |
| 1043446164 | Charlotte Smith | General Acute Care Hospital | 706 Hospital Circle, Browning, MT 59417 | 2009-06-03 |
| Find all providers in zip 59417 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740764166 | Aspen Assessment & Counseling Services | Substance Abuse Rehabilitation Facility | 505 W Main St Ste 316, Lewistown, MT 59457-5703 | 2018-09-21 |
| 1740552272 | Jim Christopher Martinez | Substance Abuse Rehabilitation Facility | 4880 Us Highway 93 S, Kalispell, MT 59901-7985 | 2012-01-30 |
| 1043547383 | Family Solutions Network, Inc. | Substance Abuse Rehabilitation Facility | 31733 South Fork Rd, Troy, MT 59935 | 2009-11-06 |
| 1144372012 | Wilderness Alternative School, Inc | Substance Abuse Rehabilitation Facility | 200 Hubbart Dam Rd, Marion, MT 59925-9708 | 2007-01-18 |
| 1952464448 | Rocky Mountain Treatment Center | Substance Abuse Rehabilitation Facility | 920 4th Ave N, Great Falls, MT 59401-1514 | 2006-12-18 |
| 1497765150 | State of Montana | Substance Abuse Rehabilitation Facility | 2500 Continental Dr, Butte, MT 59701-6565 | 2006-08-08 |
| 1437529021 | Western Montana Mental Health Center | Substance Abuse Rehabilitation Facility | 1321 Wyoming St, Missoula, MT 59801-1725 | 2015-09-25 |
| 1285073403 | Rimrock Foundation | Substance Abuse Rehabilitation Facility | 1231 N 29th St, Billings, MT 59101-0122 | 2013-06-20 |
| 1003172503 | Alternative Youth Care | Substance Abuse Rehabilitation Facility | 4880 Us Highway 93 S, Kalispell, MT 59901-7985 | 2012-04-09 |
| 1902122427 | Fort Belknap Indian Community | Substance Abuse Rehabilitation Facility | 656 Agency Main St, Harlem, MT 59526 | 2010-04-08 |
| 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.