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General NPI Number Information
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NPI Number | 1376456392
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Entity Type | Organization
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Legal Business Name | INTEGRATED SPECTRUM HEALTH LLC
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 220 8TH AVE NW
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City | RONAN
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State | MT
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Zip | 59864-2225
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Country | US
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Telephone | 406-515-9502
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Fax | 406-676-5512
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Provider Business Mailing Address
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Address Line | PO BOX 1529
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City | POLSON
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State | MT
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Zip | 59860-1529
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Country | US
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Telephone | 406-515-9502
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Fax | 406-676-5512
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Authorized Official
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Title or Position | MEMBER
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Name | SARAH DEAVILLE
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Credential |
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Telephone | 406-515-9502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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