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General NPI Number Information
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NPI Number | 1184847071
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Entity Type | Organization
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Legal Business Name | MONTANA COMMUNITY SERVICES, INC.
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 07/17/2020
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Provider Practice Location Address
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Address Line | 993 S 24TH ST W STE B
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City | BILLINGS
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State | MT
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Zip | 59102-7433
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Country | US
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Telephone | 406-656-5976
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Fax | 406-656-0128
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Provider Business Mailing Address
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Address Line | 993 S 24TH ST W STE B
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City | BILLINGS
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State | MT
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Zip | 59102-7433
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Country | US
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Telephone | 406-656-5976
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Fax | 406-656-0128
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JUDITH B HERZOG
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Credential |
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Telephone | 406-656-5976
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 0012617
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License Number State | MT
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