Active NPI
Eastern Montana Industries
- Developmentally Disabled Services Day Training Agency
- Miles City, MT
National Provider Identifier
1376661926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- EASTERN MONTANA INDUSTRIES
- Practice address
- 805 S Haynes Ave
Miles City, MT 59301-5723 - Phone
- (406) 234-3740
- Fax
- (406) 234-3742
- NPI assigned
- Mar 26, 2007
- Last updated
- Mar 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Shannon K Brence
- Title
- Executive Director
- Phone
- (406) 234-3740
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | MT | Primary | |
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
805 S Haynes Ave
Miles City, MT 59301-5723
Mailing address
805 S Haynes Ave
Miles City, MT 59301-5723
Phone (406) 234-3740
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66-0660 | Medicaid | MT |
National Provider Directory
National Provider DirectoryLocations
805 S Haynes Ave
Miles City, MT 59301
Phone (406) 234-3740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741564800000",
"number": "1376661926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 S HAYNES AVE",
"city": "MILES CITY",
"state": "MT",
"postal_code": "593015723",
"telephone_number": "406-234-3740",
"fax_number": "406-234-3742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 S HAYNES AVE",
"city": "MILES CITY",
"state": "MT",
"postal_code": "593015723",
"telephone_number": "406-234-3740",
"fax_number": "406-234-3742"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTERN MONTANA INDUSTRIES",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A",
"authorized_official_last_name": "BRENCE",
"authorized_official_first_name": "SHANNON",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "406-234-3740",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "MT",
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "66-0660",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miles City, MT
- Ashli Dumolt, RN
- Amanda Dusatko
- East Prairie Consulting
- Eastern Montana Community Mental Health Center
- Eastern Montana Health Company (home health specialties)
- Eastern Montana Radiology,P.C.
- Eastern Mt Community Mental Health Cdu Prog
- Marlys Magdalene Eggum, FNPC
- Kevin T Eisele, CERTIFIED PEDORTHIST
- Megan M Emmons
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.