institution
State Of Montana
Mental Illness Intermediate Care Facility in Lewistown, Montana
NPI 1528079720

State Of Montana is a Mental Illness Intermediate Care Facility based in Helena, MT. State Of Montana practices in Lewistown, MT. The NPI Number for State Of Montana is 1528079720 and holds a License No. 10746 (Montana).

The current practice location address for State Of Montana is 800 Casino Creek Dr, Lewistown, MT and can be reached out via phone at 406-538-7451 and via fax at 406-538-2863. You can also correspond with State Of Montana through the mailing address at 111 N SANDERS ST RM 105, HELENA, MT - 59601-4520 (mailing address contact number: 406-444-4497).

Location: 800 Casino Creek Dr, Lewistown, MT, 59601-4520
institution
Provider Profile Details
NPI Number
1528079720
Provider Name
State Of Montana
Credential
Provider Entity Type
Organization
Address
800 Casino Creek Dr, Lewistown, MT, 59601-4520
Phone Number
406-538-7451
Fax Number
406-538-2863
Provider Enumeration Date
08/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
57-0414 05 MT
57-2546 05 MT
57-0197 05 MT
57-2676 05 MT
institution
Provider Business Practice Location Address Details
Address
800 Casino Creek Dr
City
State
Zip
59457-3359
Phone Number
406-538-7451
Fax Number
406-538-2863
person
Provider Business Mailing Address Details
Address
111 N Sanders St Rm 105
City
State
Zip
59601-4520
Phone Number
406-444-4497
Fax Number
406-444-3082
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mental Illness
Speciality
-
Taxonomy
License No.
10746 (Montana)
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
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