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NPI Code Detail

MEDICARE: RECOVERY CENTERS OF MONTANA LLC

MEDICARE: RECOVERY CENTERS OF MONTANA LLC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1261QM0850XAdult Mental Health Clinic/Center
2324500000XSubstance Abuse Rehabilitation Facility
3291U00000XClinical Medical Laboratory
4251S00000XCommunity/Behavioral Health Agency
5251B00000XCase Management Agency
6261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
7261Q00000XClinic/Center
8261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

General Provider Information

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 : CHIEF COMPLIANCE OFFICER
Name : ANGELA OTTO
Credential : LAC
Telephone Number : 406-607-0185
Provider Enumeration Date : 09/15/2020
Last Update Date : 06/16/2026

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