MEDICARE: HKJ INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)	10966	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164568994
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HKJ INC

Provider Business Mailing Address
First Line	:	3000 PALMER ST STE B
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59808-1671
Country	:	US
Telephone Number	:	406-541-4673
Fax Number	:	406-327-0042

Provider Business Practice Location Address
First Line	:	3000 PALMER ST STE B
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59808-1671
Country	:	US
Telephone Number	:	406-541-4673
Fax Number	:	406-327-0042

Authorized Official
Title or Position	:	FINANCE DIRECTOR
Name	:	KENDRA R MAURER
Credential	:
Telephone Number	:	406-541-4673

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	05/19/2026

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Directions to “HKJ INC ” Practice Location

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