State of Montana
State of Montana provides Neurology Physician services in Butte, Montana. Licensed in Montana. Registered with an NPI since 2006.
- Licensed in
- MT
- In the registry since
- 2006
- Specialties on file
- 4
Practice location Address checks out
525 E Mercury StButte, MT 59701-1911
Phone: (406) 496-5407
Fax: (406) 496-5437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X · Licence 10324 (MT) |
|---|---|
| Neurology Physician | Taxonomy 2084N0400X |
| Psychiatry Physician | Taxonomy 2084P0800X |
| Addiction Psychiatry Physician | Taxonomy 2084P0802X |
Record details
| NPI number | 1497765150 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Aleasha Martin — Facility Reimbursement Manager · (406) 444-3416 |
| Other names | Montana Chemical Dependency Center |
| NPI enumerated | August 8, 2006 |
| Last updated in NPPES | February 26, 2024 |
| Certification date | February 26, 2024 |
| Mailing address | 111 N Sanders St Dept 30, Helena, MT 59601-4520 |