Healthcare Provider Details

I. General information

NPI: 1497964290
Provider Name (Legal Business Name): HELENA INDIAN ALLIANCE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 EUCLID AVE
HELENA MT
59601-2865
US

IV. Provider business mailing address

501 EUCLID AVE
HELENA MT
59601-2865
US

V. Phone/Fax

Practice location:
  • Phone: 406-442-9244
  • Fax: 406-449-5371
Mailing address:
  • Phone: 406-442-9244
  • Fax: 406-449-5371

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TODD J WILSON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 406-442-9244