Healthcare Provider Details

I. General information

NPI: 1417860792
Provider Name (Legal Business Name): BRIDGELINE COMMUNITY SERVICES CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1112 LESLIE AVE
HELENA MT
59601-1801
US

IV. Provider business mailing address

887 INSULATOR AVE
HELENA MT
59602-7831
US

V. Phone/Fax

Practice location:
  • Phone: 208-650-8065
  • Fax:
Mailing address:
  • Phone: 208-650-8065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: AMY EMMERT
Title or Position: PRESIDENT
Credential:
Phone: 208-650-8065