NPIMap

Organization Active NPI

State of Montana

  • Clinic/Center
  • Deer Lodge, MT
National Provider Identifier
1275411548
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
STATE OF MONTANA
Practice address
400 Conley Lake Rd
Deer Lodge, MT 59722-8708
Phone
(406) 444-3930
NPI assigned
Aug 25, 2025
Organization subpart
Yes
Parent organization
STATE OF MONTANAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Scott Eychner
Title
Ceo -Programs & Rehab
Phone
(406) 444-9666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

400 Conley Lake Rd
Deer Lodge, MT 59722-8708

Mailing address

PO Box 201301
Helena, MT 59620-1301

Other practice location 1

4 N Haynes Ave
Miles City, MT 59301-5600
Phone (406) 202-1377

Other practice location 2

2 Riverside Rd
Boulder, MT 59632-7872
Phone (406) 225-4500

Other practice location 3

701 S 27th St
Billings, MT 59101-4511
Phone (406) 247-5100

Other names 1

  • Dept. of Corrections Other name

National Provider Directory

National Provider Directory
Tax ID family
John D Moore MD12 organizations share this tax ID, including this one
Part of
John D Moore MD

Other organizations with this tax ID 11

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

Locations

701 S 27th St
Billings, MT 59101
Phone (406) 247-5100

2 Riverside Rd
Boulder, MT 59632
Phone (406) 225-4500

400 Conley Lake Rd
Deer Lodge, MT 59722
Phone (406) 415-6221

4 N Haynes Ave
Miles City, MT 59301
Phone (406) 233-2214

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1275411548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 201301",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596201301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CONLEY LAKE RD",
            "city": "DEER LODGE",
            "state": "MT",
            "postal_code": "597228708",
            "telephone_number": "406-444-3930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 N Haynes Ave",
            "address_purpose": "LOCATION",
            "city": "Miles City",
            "state": "MT",
            "postal_code": "593015600",
            "country_code": "US",
            "telephone_number": "406-202-1377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Riverside Rd",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "MT",
            "postal_code": "596327872",
            "country_code": "US",
            "telephone_number": "406-225-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 S 27th St",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "591014511",
            "country_code": "US",
            "telephone_number": "406-247-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STATE OF MONTANA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF MONTANA",
        "enumeration_date": "2025-08-25",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "EYCHNER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CEO -PROGRAMS & REHAB",
        "authorized_official_telephone_number": "406-444-9666"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dept. of Corrections",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Deer Lodge, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.