NPIMap

Organization Active NPI

Mountain Regional Services, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Evanston, WY
National Provider Identifier
1114156536
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
MOUNTAIN REGIONAL SERVICES, INC.
Practice address
50 Allegiance Cir
Evanston, WY 82930-3804
Phone
(307) 789-3710
Fax
(307) 789-0823
NPI assigned
Jul 7, 2009
Last updated
Jul 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2009

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

Authorized official

Name
Diane Datteri, CPA
Title
Accountant
Phone
(307) 789-3710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

50 Allegiance Cir
Evanston, WY 82930-3804

Mailing address

PO Box 6005
Evanston, WY 82931-6005
Phone (307) 789-3710

National Provider Directory

National Provider Directory
Tax ID family
Mountain Regional Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246924800000",
    "number": "1114156536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6005",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829316005",
            "telephone_number": "307-789-3710",
            "fax_number": "307-789-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ALLEGIANCE CIR",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829303804",
            "telephone_number": "307-789-3710",
            "fax_number": "307-789-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN REGIONAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-07",
        "last_updated": "2009-07-07",
        "status": "A",
        "authorized_official_last_name": "DATTERI",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "307-789-3710",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.