1326058207 STATE OF MONTANA
Intellectual Disabilities Intermediate Care Facility
Active
Basic Information
- Organization Name
- STATE OF MONTANA
- Enumeration Date
- August 9, 2006
- Last Update
- May 30, 2012
- Authorized Official
- MRS. TEDDI EVERETT
FISCAL MANAGER
Phone: (406) 444-4497
Practice Location
- Address
- 310 FOURTH AVENUE
BOULDER, MT 596320087 - Phone
- (406) 225-4410
- Fax
- (406) 225-4414
Mailing Address
- Address
- 111 N SANDERS ST RM 105
P O BOX 6429
HELENA, MT 596014520 - Phone
- (406) 444-4497
- Fax
- (406) 444-3082
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Intermediate Care Facility, Intellectual Disabilities | 10867 | MT | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57-0037 | 05 | MT | N/A |
| 57-0063 | 05 | MT | N/A |
| 57-0336 | 05 | MT | N/A |
| 57-2598 | 05 | MT | N/A |
| 57-0095 | 05 | MT | N/A |
| 57-0061 | 05 | MT | N/A |
| 57-0050 | 05 | MT | N/A |
Frequently Asked Questions
What is STATE OF MONTANA's NPI number?
STATE OF MONTANA's NPI number is 1326058207.
Which doctor has NPI number 1326058207?
The doctor with NPI number 1326058207 is STATE OF MONTANA.
What is STATE OF MONTANA's practice address?
STATE OF MONTANA's practice address is 310 FOURTH AVENUE, BOULDER, MT, 596320087.
Which doctor practices at 310 FOURTH AVENUE, BOULDER, MT, 596320087?
STATE OF MONTANA practices at 310 FOURTH AVENUE, BOULDER, MT, 596320087.
What is STATE OF MONTANA's mailing address?
STATE OF MONTANA's mailing address is 111 N SANDERS ST RM 105, P O BOX 6429, HELENA, MT, 596014520.
What is STATE OF MONTANA's phone number?
STATE OF MONTANA's phone number is (406) 225-4410.
Who is (406) 225-4410?
(406) 225-4410 is the phone number for STATE OF MONTANA.
What is STATE OF MONTANA's specialty?
STATE OF MONTANA's specialty is Intellectual Disabilities Intermediate Care Facility.
What type of doctor is STATE OF MONTANA?
STATE OF MONTANA is a Intellectual Disabilities Intermediate Care Facility.
Is STATE OF MONTANA a Intermediate Care Facility, Intellectual Disabilities?
Yes, STATE OF MONTANA is a Intermediate Care Facility, Intellectual Disabilities.
Is STATE OF MONTANA still practicing?
Yes, STATE OF MONTANA is currently practicing.
Is STATE OF MONTANA accepting new patients?
STATE OF MONTANA may be accepting new patients. Please call their office at (406) 225-4410 to inquire about availability.
Is NPI 1326058207 still active?
Yes, NPI 1326058207 is currently active.
Where does STATE OF MONTANA practice?
STATE OF MONTANA practices in BOULDER, MT.