NPIMap

Organization Active NPI

Summit Ranch Inc

Doing business as Summit Preparatory School

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Kalispell, MT
National Provider Identifier
1346495462
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
23 Issued in MT
Legal business name
SUMMIT RANCH INC
Doing business as
Summit Preparatory School
Practice address
1605 Danielson Rd
Kalispell, MT 59901-7252
Phone
(406) 758-8100
NPI assigned
Nov 18, 2008
Last updated
Sep 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Authorized official

Name
Liann Ainsworth
Title
Associate Executive Dir
Phone
(406) 758-8100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 855 MT
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 23 MT Primary

Addresses

Primary practice location

1605 Danielson Rd
Kalispell, MT 59901-7252

Mailing address

1605 Danielson Rd
Kalispell, MT 59901-7252
Phone (406) 758-8100

Other names 1

  • Summit Preparatory School Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Summit Preparatory School2 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.

  • Summit Ranch Inc.

    dba Summit Preparatory School

    • Comprehensive Outpatient Rehabilitation Facility (CORF)
    • Kalispell, MT
    • NPI 1356537120
    NPD tax ID

Practitioners & affiliated clinicians

Practitioners 9

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": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1346495462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 DANIELSON RD",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599017252",
            "telephone_number": "406-758-8100",
            "fax_number": "406-758-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 DANIELSON RD",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599017252",
            "telephone_number": "406-758-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT RANCH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "AINSWORTH",
        "authorized_official_first_name": "LIANN",
        "authorized_official_title_or_position": "ASSOCIATE EXECUTIVE DIR",
        "authorized_official_telephone_number": "406-758-8100"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "MT",
            "license": "855",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "MT",
            "license": "23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Preparatory School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.