MEDICARE: RECOVERY CENTERS OF MONTANA LLC

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy
1	363LP2300X	Primary Care Nurse Practitioner
2	101YM0800X	Mental Health Counselor
3	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
4	251S00000X	Community/Behavioral Health Agency
5	1041C0700X	Clinical Social Worker
6	101YP2500X	Professional Counselor
7	101YA0400X	Addiction (Substance Use Disorder) Counselor
8	104100000X	Social Worker
9	171M00000X	Case Manager/Care Coordinator
10	261Q00000X	Clinic/Center
11	291U00000X	Clinical Medical Laboratory
12	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
13	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
14	175T00000X	Peer Specialist
15	324500000X	Substance Abuse Rehabilitation Facility

NPI Number	:	1851906895
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RECOVERY CENTERS OF MONTANA LLC

Provider Business Mailing Address
First Line	:	390 HODGSON RD
Second Line	:
City	:	COLUMBIA FALLS
State	:	MT
Zip	:	59912-9063
Country	:	US
Telephone Number	:	406-897-2788
Fax Number	:	406-897-2770

Provider Business Practice Location Address
First Line	:	390 HODGSON RD
Second Line	:
City	:	COLUMBIA FALLS
State	:	MT
Zip	:	59912-9063
Country	:	US
Telephone Number	:	406-897-2788
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING MANAGER
Name	:	JORDAN STOW
Credential	:
Telephone Number	:	406-291-0321

Provider Enumeration Date	:	09/15/2020
Last Update Date	:	12/22/2025

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax: