STATE OF MONTANA


Address: 300 Garnet Way, Warm Springs, MT 59756-0300
Phone: 4066937021

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 283Q00000X Psychiatric Hospital 10419 MT Hospitals

Other Provider Identifier

State Issuer Identifier Type Code
MT 570044 05
MT 57-2286 05

Other Provider/Organization Names

Other Name Type Code
Montana State Hospital Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 300 GARNET WAY
City WARM SPRINGS
State MT
Zip Code 59756-0300

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 283Q00000X
Grouping Hospitals
Classification Psychiatric Hospital

Taxonomy Definition

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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053577205 Montana Children's Home and Hospital Psychiatric Hospital 2755 Colonial Dr, Helena, MT 59601-4926 2008-08-06

Competitor

Search similar providers

City WARM SPRINGS
Zip Code 59756

Improve Information

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Dataset Information

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.

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