NPIMap

Organization Active NPI

Western Montana Mental Health Center

Doing business as Glacier House

  • Mental Illness Community Based Residential Treatment Facility
  • Kalispell, MT
National Provider Identifier
1518246552
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
11813 Issued in MT
Legal business name
WESTERN MONTANA MENTAL HEALTH CENTER
Doing business as
Glacier House
Practice address
412 Windward Way
Kalispell, MT 59901-2680
Phone
(406) 751-8365
Fax
(406) 751-8366
NPI assigned
Aug 9, 2011
Last updated
Jan 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Authorized official

Name
Jodi Daly, LCPC
Title
Ceo
Phone
(406) 532-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 11813 MT Primary

Addresses

Primary practice location

412 Windward Way
Kalispell, MT 59901-2680

Mailing address

140 N Russell St
Missoula, MT 59801-1704
Phone (406) 532-8400

Other names 1

  • Glacier House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Western Montana Mnta HL10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

412 Windward Way
Kalispell, MT 59901
Phone (406) 751-8365

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1518246552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 N RUSSELL ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598011704",
            "telephone_number": "406-532-8400",
            "fax_number": "406-224-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 WINDWARD WAY",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012680",
            "telephone_number": "406-751-8365",
            "fax_number": "406-751-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MONTANA MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-09",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-532-8400",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MT",
            "license": "11813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glacier House",
            "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 Jan 24, 2018; 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.