Healthcare Provider Details
I. General information
NPI: 1205175700
Provider Name (Legal Business Name): TOWNSEND HEALTH SYSTEMS INC,
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/05/2013
Last Update Date: 08/02/2023
Certification Date: 08/02/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
110 N OAK ST
TOWNSEND MT
59644-2306
US
IV. Provider business mailing address
110 N OAK ST
TOWNSEND MT
59644-2306
US
V. Phone/Fax
- Phone: 406-266-3186
- Fax: 406-266-3180
- Phone: 406-266-3186
- Fax: 406-266-3180
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QR0405X |
| Taxonomy | Substance Use Disorder Rehabilitation Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JENNY
CLOWES
Title or Position: CEO
Credential:
Phone: 406-266-3186