Healthcare Provider Details

I. General information

NPI: 1184847071
Provider Name (Legal Business Name): MONTANA COMMUNITY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 07/17/2020
Certification Date: 07/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

993 S 24TH ST W STE B
BILLINGS MT
59102-7433
US

IV. Provider business mailing address

993 S 24TH ST W STE B
BILLINGS MT
59102-7433
US

V. Phone/Fax

Practice location:
  • Phone: 406-656-5976
  • Fax: 406-656-0128
Mailing address:
  • Phone: 406-656-5976
  • Fax: 406-656-0128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number0012617
License Number StateMT

VIII. Authorized Official

Name: JUDITH B HERZOG
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 406-656-5976