Organization Active NPI

Western Montana Area 6 Agency on Aging

  • Case Management Agency
  • Polson, MT
National Provider Identifier
1144358102
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
WESTERN MONTANA AREA 6 AGENCY ON AGING
Practice address
110 Main St
Suite 5
Polson, MT 59860-2364
Phone
(406) 883-7284
Fax
(406) 883-7363
NPI assigned
Mar 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. John P Freemole
Title
Supervisor Social Worker
Phone
(406) 883-7284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

110 Main St
Suite 5
Polson, MT 59860-2364

Mailing address

110 Main St
Suite 5
Polson, MT 59860-2364
Phone (406) 883-7284

National Provider Directory

National Provider Directory

Locations

110 Main St
Ste 5
Polson, MT 59860
Phone (406) 883-7284

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144358102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MAIN ST",
            "address_2": "SUITE 5",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598602364",
            "telephone_number": "406-883-7284",
            "fax_number": "406-883-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MAIN ST",
            "address_2": "SUITE 5",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598602364",
            "telephone_number": "406-883-7284",
            "fax_number": "406-883-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MONTANA AREA 6 AGENCY ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREEMOLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SUPERVISOR SOCIAL WORKER",
        "authorized_official_telephone_number": "406-883-7284",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Polson, 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.