Organization
COMMUNITY HEALTH CARE CENTER INCORPORATED
Active
Other names
Alluvion Health
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PRESTON (ACTING CEO)
(406) 454-6973
Entity
Organization
Contact information
Practice address
601 1ST AVE N, GREAT FALLS, MT 59401-2510
(406) 791-7903
(406) 791-7998
Mailing address
601 1ST AVE N, GREAT FALLS, MT 59401-2510
(406) 454-6973
(406) 791-9277
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
271811
MEDICARE PTAN
MT
05
—
730197
—
MT
Enumeration date
02/13/2007
Last updated
03/15/2024
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