Healthcare Provider Details

I. General information

NPI: 1891781787
Provider Name (Legal Business Name): SOUTH CENTRAL MONTANA REGIONAL MENTAL HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2005
Last Update Date: 11/30/2021
Certification Date: 11/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1245 N 29TH ST
BILLINGS MT
59101-0122
US

IV. Provider business mailing address

PO BOX 219
BILLINGS MT
59103-0219
US

V. Phone/Fax

Practice location:
  • Phone: 406-252-5658
  • Fax: 406-238-3617
Mailing address:
  • Phone: 406-252-5658
  • Fax: 406-238-3617

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: RODNEY OSTERMILLER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 406-252-5658