Sunburst Community Service Organization

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SUNBURST COMMUNITY SERVICE ORGANIZATION

Practice address

109 1St Ave
Saint Ignatius, MT 59865-0703

Phone

(406) 745-3681

NPI assigned

Oct 18, 2016

Organization subpart

No

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

Authorized official

Name

Julie Fleck, LCSW

Title

Director

Phone

(406) 745-3681

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1396296034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 703",
            "city": "SAINT IGNATIUS",
            "state": "MT",
            "postal_code": "598650703",
            "telephone_number": "406-745-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 1ST AVE",
            "city": "SAINT IGNATIUS",
            "state": "MT",
            "postal_code": "598650703",
            "telephone_number": "406-745-3681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNBURST COMMUNITY SERVICE ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "FLECK",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "406-745-3681",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Patrick Hosp and Health Sci Ctr (St Partick Hospital and Health Sciences Center)
• St. Lukes Community Hospital (St. Luke Community Clinic St. Ignatius)
• Jera Lynn Stewart, PH.D.
• Rachel Lee Stock, R.N.
• Brenda Marie Strysko, CNM, FNP
• Beverly Swaney
• Shanley Swanson, MSW LAC
• Randy Joseph Trudeau, PA-C
• Jennifer Van Wagoner, DMD
• David J Vaughan, FNP

• Community/Behavioral Health Agency in St Ignatius, MT
• Providers in St Ignatius, MT by specialty
• Community/Behavioral Health Agency in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.