Intermountain Deaconess Home, NPI 1518954106
Emotionally Disturbed Childrens' Residential Treatment Facility in Helena, MT, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1518954106 |
| NPI Entity Type | Organization |
| Provider Name |
Intermountain Deaconess Home
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 500 S. Lamborn St., Helena, MT, US |
| Provider Mailing Address | 500 S. Lamborn St., Helena, MT, US, 596015417 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MR. Jim Fitzgerald |
| Official Position | EXECUTIVE DIRECTOR |
| Phone | 406-442-7920 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility |
| Classification |
Residential Treatment Facility, Emotionally Disturbed Children |
| Group | |
| License No. | 0007148-005 |
| License State | MT |
| Description | A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 6560 | MT | No | |||
Community Based Residential Treatment Facility, Mental Illness |
0007148-005 | MT | No | ||
| 0007148-001 | MT | No | |||
| 7148 | MT | No | |||
Residential Treatment Facility, Emotionally Disturbed Children |
7148 | MT | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| OT287MT | AK | MEDICAID | 05 |
| HS775PI | AK | MEDICAID | 05 |
| SP516MT | AK | MEDICAID | 05 |
| 118301000 | WY | MEDICAID | 05 |
| 118301001 | WY | MEDICAID | 05 |
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