MEDICARE: PETER S AIMSBACK JR. ACLC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	BBH-ACLC-LIC-81221	MT

General Provider Information

NPI Number	:	1992638589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER S AIMSBACK JR. ACLC

Provider Business Mailing Address
First Line	:	15 3RD AVE E
Second Line	:
City	:	POLSON
State	:	MT
Zip	:	59860-2113
Country	:	US
Telephone Number	:	406-319-2082
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 3RD AVE E
Second Line	:
City	:	POLSON
State	:	MT
Zip	:	59860-2113
Country	:	US
Telephone Number	:	406-319-2082
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

Similar Medicare Providers

1003764911 — MISSION MOUNTAIN RECOVERY AND WELLNESS LLC
Practice Location Address:

15 3RD AVE E
POLSON, MT
59860-2113

Practice Phone: 406-319-2082
Practice Fax:

1861326316 — MIA KLUESNER DR
Practice Location Address:

5 4TH AVE E
POLSON, MT
59860-2117

Practice Phone: 406-883-5541
Practice Fax:

1861326324 — AMBER TATKENHORST
Practice Location Address:

PO BOX 192
POLSON, MT
59860-0192

Practice Phone: 406-281-0706
Practice Fax:

1225488356 — HANNAH DUPEA MD
Practice Location Address:

6 13TH AVE E
POLSON, MT
59860-5315

Practice Phone: 406-883-5680
Practice Fax: 406-883-8910

1093255879 — EUGENE BEVILLE
Practice Location Address:

6 13TH AVE E
POLSON, MT
59860-5315

Practice Phone: 406-883-5680
Practice Fax: 406-883-8910

1538700893 — BRITTANY LEIGH BORMAN PA-C
Practice Location Address:

6 13TH AVE E
POLSON, MT
59860-5315

Practice Phone: 406-883-5680
Practice Fax: 406-883-8910

Directions to “ PETER S AIMSBACK JR. ACLC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.