Organization Active NPI

Three Rivers Wilderness Programs, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Belgrade, MT
National Provider Identifier
1003932104
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
THREE RIVERS WILDERNESS PROGRAMS, INC.
Practice address
8977 Dry Creek Rd
Belgrade, MT 59714-8121
Phone
(406) 388-5748
Fax
(406) 388-5275
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Maryllis Filipovich, LCSW
Title
Executive Director
Phone
(406) 388-5748

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

8977 Dry Creek Rd
Belgrade, MT 59714-8121

Mailing address

8977 Dry Creek Rd
Belgrade, MT 59714-8121
Phone (406) 388-5748

Other names 1

  • Three Rivers Montana Doing business as

National Provider Directory

National Provider Directory

Locations

8977 Dry Creek Rd
Belgrade, MT 59714
Phone (406) 388-5748

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003932104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8977 DRY CREEK RD",
            "city": "BELGRADE",
            "state": "MT",
            "postal_code": "597148121",
            "telephone_number": "406-388-5748",
            "fax_number": "406-388-5275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8977 DRY CREEK RD",
            "city": "BELGRADE",
            "state": "MT",
            "postal_code": "597148121",
            "telephone_number": "406-388-5748",
            "fax_number": "406-388-5275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS WILDERNESS PROGRAMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FILIPOVICH",
        "authorized_official_first_name": "MARYLLIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "406-388-5748",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Three Rivers Montana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belgrade, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.