Organization
EASTERN MONTANA COMMUNITY MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY K BEASON (CHIEF INFORMATION OFFICER)
(406) 234-0234
Entity
Organization
Contact information
Practice address
2508 WILSON ST, MILES CITY, MT 59301-5000
(406) 234-1687
(406) 234-1698
Mailing address
PO BOX 1530, MILES CITY, MT 59301-1530
(406) 234-0234
(406) 234-0235
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
10392
MT
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0255527
—
MT
05
—
0290147
—
MT
05
—
0320112
—
MT
05
—
0402142
—
MT
05
—
0439212
—
MT
05
—
0491470
—
MT
05
—
0502418
—
MT
01
—
75031
BS/BS PROVIDER #
MT
Enumeration date
11/08/2005
Last updated
01/21/2025
Update your record
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