Organization Active NPI

Eastern Montana Industries

  • Developmentally Disabled Services Day Training Agency
  • Miles City, MT
National Provider Identifier
1376661926
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
66-0660MedicaidMT

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.