| Intermountain | |
|
500 S. Lamborn St. Helena MT 59601-5417 | |
| (406) 442-7920 | |
| (406) 442-7949 |
| Full Name | Intermountain |
|---|---|
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
| Location | 500 S. Lamborn St., Helena, Montana |
| Authorized Official Name and Position | Jennifer Williams (CAO) |
| Authorized Official Contact | 4064574822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intermountain 3240 Dredge Dr Helena MT 59602-0548 Ph: (406) 457-4820 | Intermountain 500 S. Lamborn St. Helena MT 59601-5417 Ph: (406) 442-7920 |
| NPI Number | 1518954106 |
|---|---|
| Provider Enumeration Date | 09/29/2005 |
| Last Update Date | 01/12/2024 |
| Certification Date | 01/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518954106 | NPI | - | NPPES |
| 118301001 | Medicaid | WY | |
| SP516MT | Medicaid | AK | |
| HS775PI | Medicaid | AK | |
| OT287MT | Medicaid | AK | |
| 118301000 | Medicaid | WY |
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