NPIMap

Organization Active NPI

Yellowstone Boys and Girls Ranch

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Billings, MT
National Provider Identifier
1104990373
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
10810 Issued in MT
Legal business name
YELLOWSTONE BOYS AND GIRLS RANCH
Practice address
1732 S 72ND St W
Billings, MT 59106-3500
Phone
(406) 655-2100
Fax
(406) 651-2783
NPI assigned
Nov 20, 2006
Last updated
Mar 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Authorized official

Name
Mr. Mike Chavers
Title
Ceo
Phone
(406) 655-2109

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 10810 MT Primary
Psychiatric Residential Treatment Facility 323P00000X 10810 MT
Family Nurse Practitioner 363LF0000X NU
Clinical Nurse Specialist 364S00000X NU
Child & Adolescent Psychiatry Physician 2084P0804X NU

Addresses

Primary practice location

1732 S 72ND St W
Billings, MT 59106-3500

Mailing address

1732 S 72ND St W
Billings, MT 59106-3500
Phone (406) 655-2100

Other identifiers 1

IdentifierTypeStateIssuer
4104880MedicaidMT

National Provider Directory

National Provider Directory
Tax ID family
Yellowstone Boys and Girls Ranch7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1104990373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732 S 72ND ST W",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591063500",
            "telephone_number": "406-655-2100",
            "fax_number": "406-651-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 S 72ND ST W",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591063500",
            "telephone_number": "406-655-2100",
            "fax_number": "406-651-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELLOWSTONE BOYS AND GIRLS RANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "CHAVERS",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-655-2109",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "MT",
            "license": "10810",
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "MT",
            "license": "10810",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4104880",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

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