Prairie Hills Recovery Center

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

PRAIRIE HILLS RECOVERY CENTER

Practice address

623 N Central Ave
Sidney, MT 59270-4216

Phone

(406) 488-3001

Fax

(406) 488-3003

NPI assigned

Jun 9, 2017

Organization subpart

No

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

Authorized official

Name

Kayla Rose Anderson, LACNPI 1033582861

Title

Owner/Lac

Phone

(406) 488-3001

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kayla Anderson

  • Addiction (Substance Use Disorder) Counselor
  • Sidney, MT
  • NPI 1033582861
  NPD (past) Authorized official

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498435200000",
    "number": "1043749237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 626",
            "city": "SIDNEY",
            "state": "MT",
            "postal_code": "592700626",
            "telephone_number": "406-488-3001",
            "fax_number": "406-488-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 N CENTRAL AVE",
            "city": "SIDNEY",
            "state": "MT",
            "postal_code": "592704216",
            "telephone_number": "406-488-3001",
            "fax_number": "406-488-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE HILLS RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-09",
        "last_updated": "2017-06-26",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER/LAC",
        "authorized_official_telephone_number": "406-488-3001",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED ADDICTION COUNSELOR CERTIFICATE",
            "identifier": "2647",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Eileen Olson, RPH
• Sarah Ann Perrault, LCPC, LAC
• Robert David Pfeffer, M.D.
• Paul Pfennig, ACNS-BC, FNP-BC, ANP
• Edward Lewis Pierce, MD PC
• R Laqua PC
• Rajohn Karanjai, M.D., P.C.
• Carol R. Rasmussen, LAC
• Kysa E Rasmussen, LCSW
• Patte M Redmond, DC

• Substance Use Disorder Rehabilitation Clinic/Center in Sidney, MT
• Providers in Sidney, MT by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2017; 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.