STATE OF MONTANA (NPI# 1932116340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932116340 |
Entity Type | Organization |
Organization Name | STATE OF MONTANA |
Other Organization Name | MONTANA STATE HOSPITAL |
Practice Address |
300 Garnet Way Warm Springs MT 59756-0300 |
Mailing Address |
111 N Sanders St Dept 30 Helena MT 59601-4520 |
Practice Telephone | 4066937021 |
Practice Fax Number | 4066937023 |
Mailing Telephone | 4064444497 |
Mailing Fax Number | 4064443082 |
Enumeration Date | 2006-08-01 |
Last Update Date | 2019-01-24 |
Authorized Official Name | MRS. STACY ROOPE (FISCAL MANAGER) |
Authorized Official Telephone | 4064444497 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 283Q00000X | Psychiatric Hospital | 10419 | MT | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | 570044 | 05 | |
MT | 57-2286 | 05 |
Other Name | Type Code |
---|---|
Montana State Hospital | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912120817 | State of Montana | Clinic/Center | 1400 Broadway Rm A116, Helena, MT 59620 | 2007-04-10 |
1326058207 | State of Montana | Intermediate Care Facility, Mentally Retarded | 310 Fourth Avenue, Boulder, MT 59632-0087 | 2006-08-09 |
1497765150 | State of Montana | Substance Abuse Rehabilitation Facility | 2500 Continental Dr, Butte, MT 59701-6565 | 2006-08-08 |
1366748147 | State of Montana | Clinic/Center | 1400 Broadway Rm A116, Helena, MT 59620 | 2011-01-27 |
1639475411 | State of Montana | Clinic/Center | 1400 Broadway Rm A116, Helena, MT 59620 | 2011-01-27 |
1326114620 | State of Montana | Clinical Medical Laboratory | 1400 E Broadway St, Room B105, Helena, MT 59601-5231 | 2006-11-28 |
1528079720 | State of Montana | Intermediate Care Facility, Mental Illness | 800 Casino Creek Dr, Lewistown, MT 59457-3359 | 2006-08-11 |
1356351183 | State of Montana | Skilled Nursing Facility | 400 Veterans Drive, Columbia Falls, MT 59912-0250 | 2006-08-08 |
Street Address |
300 GARNET WAY |
City | WARM SPRINGS |
State | MT |
Zip Code | 59756-0300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285603258 | Scott S Piranian | Family Medicine | 300 Garnet Way, Warm Springs, MT 59756 | 2006-03-14 |
1578199428 | Paul Dever | Nurse Practitioner | 300 Garnet Way, Warm Springs, MT 59756-9700 | 2020-03-22 |
1235794918 | Amanda Beth Womack | Nurse Practitioner | 300 Garnet Way, Warm Springs, MT 59756-9700 | 2019-05-07 |
1760846885 | Erika Taegar | Registered Nurse | 300 Garnet Way, Warm Springs, MT 59756 | 2016-04-06 |
1578924239 | Leslie A Trumble | Psychologist | 300 Garnet Way, Warm Springs, MT 59756 | 2016-03-09 |
1760880066 | Carly Jean Hillenbrand | Registered Nurse | 300 Garnet Way, Warm Springs, MT 59756 | 2014-12-18 |
1801224209 | Jacqueline Lynn Moen | Nurse Practitioner | 300 Garnet Way, Warm Springs, MT 59756 | 2013-10-22 |
1427314632 | Stephanie G Dever | Nurse Practitioner | 300 Garnet Way, Warm Springs, MT 59756-9700 | 2012-04-02 |
1437430246 | Kammiell Smith | Nurse Practitioner | 300 Garnet Way, Warm Springs, MT 59756-0300 | 2011-09-07 |
1871884825 | Peter M Edwards | Psychiatry & Neurology | 300 Garnet Way, Warm Springs, MT 59756-0000 | 2011-04-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457458770 | Tatjana Caddell | Psychiatry & Neurology | 1main St, Warm Springs, MT 59756 | 2006-09-20 |
1336244110 | Comprehensive Pharmacy Services LLC | Pharmacy | 58 Garnet Way, Warm Springs, MT 59756 | 2006-09-14 |
1821493297 | Douglas Houseman Evans | Nurse Practitioner | 100 Garnet Way, Warm Springs, MT 59756 | 2014-10-28 |
1376836841 | Milan R Patel | Psychiatry & Neurology | 1 Main Street, Warm Springs, MT 59756 | 2011-05-17 |
1770777237 | Jeri Payne | Nurse Practitioner | 1 Main Street, Warm Springs, MT 59756 | 2007-08-28 |
1558439273 | Myron K Meinhardt | Psychiatry & Neurology | 1 Main St, Warm Springs, MT 59756 | 2006-12-01 |
1881779668 | James Thomas Gray | Psychiatry & Neurology | 1 Main St, Warm Springs, MT 59756 | 2006-10-27 |
1548345051 | Virginia L Hill | Psychiatry & Neurology | 1 Main St, Warm Springs, MT 59756 | 2006-10-25 |
1326134974 | Liviu C Goia | Psychiatry & Neurology | 1 Main St, Warm Springs, MT 59756 | 2006-10-04 |
1396839882 | Bruce J Coan | Family Medicine | 1 Main St, Warm Springs, MT 59756 | 2006-10-02 |
Find all providers in zip 59756 |
Taxonomy Code | 283Q00000X |
Grouping | Hospitals |
Classification | Psychiatric Hospital |
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053577205 | Montana Children's Home and Hospital | Psychiatric Hospital | 2755 Colonial Dr, Helena, MT 59601-4926 | 2008-08-06 |
City | WARM SPRINGS |
Zip Code | 59756 |
Please comment or provide details below to improve the information on STATE OF MONTANA.
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.