MEDICARE: BUTTE SPIRIT CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	261QM1300X	Multi-Specialty Clinic/Center
3	324500000X	Substance Abuse Rehabilitation Facility
4	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	13587	OTHER	MT	MONTANA DEPARTMENT OF HEALTH AND HUMAN SERVICES LICENSE #

General Provider Information

NPI Number	:	1477218584
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUTTE SPIRIT CENTER

Provider Business Mailing Address
First Line	:	1053 POINT OF ROCKS RD
Second Line	:
City	:	WHITEHALL
State	:	MT
Zip	:	59759-9538
Country	:	US
Telephone Number	:	406-640-8069
Fax Number	:	406-303-5264

Provider Business Practice Location Address
First Line	:	609 W GALENA ST
Second Line	:
City	:	BUTTE
State	:	MT
Zip	:	59701-1507
Country	:	US
Telephone Number	:	406-640-8069
Fax Number	:	406-303-5264

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DEMETRIUS FASSAS
Credential	:	CBHPSS
Telephone Number	:	406-640-8069

Provider Enumeration Date	:	11/03/2021
Last Update Date	:	02/17/2026

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Directions to “BUTTE SPIRIT CENTER ” Practice Location

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