Organization Active NPI

Bear Paw Recovery Center

Doing business as Bear Paw Recovery Center PLLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Havre, MT
National Provider Identifier
1033762992
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
BEAR PAW RECOVERY CENTER
Doing business as
Bear Paw Recovery Center PLLC
Practice address
332 2ND Ave
Havre, MT 59501-3530
Phone
(406) 399-1757
NPI assigned
Jul 19, 2019
Last updated
Sep 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Authorized official

Name
Jesse Bergren, LACNPI 1699185322
Title
Owner
Phone
(406) 399-1757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X

Addresses

Primary practice location

332 2ND Ave
Havre, MT 59501-3530

Mailing address

332 2ND Ave
Havre, MT 59501-3530
Phone (406) 399-1757

Other names 1

  • BEAR PAW RECOVERY CENTER PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

605 3rd Ave
Havre, MT 59501
Phone (406) 399-1757

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1033762992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 2ND AVE",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595013530",
            "telephone_number": "406-399-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 2ND AVE",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595013530",
            "telephone_number": "406-399-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR PAW RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-19",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "BERGREN",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-399-1757",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEAR PAW RECOVERY CENTER PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Havre, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.