Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
MONTIE DALE FORD
Active
Individual
MONTIE DALE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDC 1
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA3237
—
AK
05
—
MH3237
—
AK
Enumeration date
10/06/2011
Last updated
10/06/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers