NPIMap

Organization Active NPI

Kids Behavioral Health of Montana Inc

Doing business as Acadia Montana

  • Psychiatric Residential Treatment Facility
  • Butte, MT
National Provider Identifier
1306981238
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
10932 Issued in MT
Legal business name
KIDS BEHAVIORAL HEALTH OF MONTANA INC
Doing business as
Acadia Montana
Practice address
55 Basin Creek Rd
Butte, MT 59701-9704
Phone
(406) 494-4183
Fax
(406) 494-1724
NPI assigned
Feb 20, 2007
Last updated
Jun 30, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
ACADIA HEALTHCARE COMPANY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Authorized official

Name
Mr. Dave M Bennetts
Title
Ceo
Phone
(406) 494-4183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 10932 MT Primary

Addresses

Primary practice location

55 Basin Creek Rd
Butte, MT 59701-9704

Mailing address

55 Basin Creek Rd
Butte, MT 59701-9704
Phone (406) 494-4183

Other identifiers 1

IdentifierTypeStateIssuer
4100298MedicaidMT

Other names 1

  • Acadia Montana Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Acadia Montana8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1306981238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BASIN CREEK RD",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597019704",
            "telephone_number": "406-494-4183",
            "fax_number": "406-494-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BASIN CREEK RD",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597019704",
            "telephone_number": "406-494-4183",
            "fax_number": "406-494-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS BEHAVIORAL HEALTH OF MONTANA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACADIA HEALTHCARE COMPANY LLC",
        "enumeration_date": "2007-02-20",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "BENNETTS",
        "authorized_official_first_name": "DAVE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-494-4183",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "MT",
            "license": "10932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4100298",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acadia Montana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Butte, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.