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NPI Code Detail

MEDICARE: HI-LINE RECOVERY

MEDICARE: HI-LINE RECOVERY
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
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center259-07MT

Other Identifiers

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

General Provider Information

NPI Number : 1629216775
Entity Type Code : Organization
Provider Name (Legal Business Name) : HI-LINE RECOVERY
Provider Business Mailing Address
First Line : 1210 E MAIN ST
Second Line :
City : CUT BANK
State : MT
Zip : 59427-3152
Country : US
Telephone Number : 406-873-2155
Fax Number :
Provider Business Practice Location Address
First Line : 1210 E MAIN ST
Second Line :
City : CUT BANK
State : MT
Zip : 59427-3152
Country : US
Telephone Number : 406-873-2155
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. WILIAM MARTIN
Credential : LAC
Telephone Number : 406-873-2155
Provider Enumeration Date : 01/28/2009
Last Update Date : 01/28/2009

Similar Medicare Providers

1891822961 — VIRGINIA GOSNEY LAC
Practice Location Address:
1210 E MAIN ST
CUT BANK, MT
59427-3152
Practice Phone: 406-873-2155
Practice Fax: 406-873-2155
1720108038 — MRS. IRENE MARTIN RN
Practice Location Address:
1210 E MAIN ST
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59427-3152
Practice Phone: 406-873-2924
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1811135445 — GLENDA R COMES AT NIGHT LAC
Practice Location Address:
1210 E MAIN ST
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59427-3152
Practice Phone: 406-873-2155
Practice Fax:
1508094467 — ALICE CLARK REUMAN LCSW
Practice Location Address:
1210 EAST MAIN STREET , CENTER FOR MENTAL HEALTH COURT ANNEX
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59427-3152
Practice Phone: 406-873-5538
Practice Fax: 406-873-3348
1477874246 — JEANNINE R WILLISON LAC
Practice Location Address:
1210 E MAIN ST
CUT BANK, MT
59427-3152
Practice Phone: 406-873-2155
Practice Fax:
1528365301 — GLACIER COUNTY HEALTH DEPARTMENT
Practice Location Address:
1210 E MAIN ST
CUT BANK, MT
59427-3152
Practice Phone: 406-873-2924
Practice Fax: 406-873-2205

Directions to “HI-LINE RECOVERY ” Practice Location

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