NPIMap

Organization Active NPI

State of Montana

  • Mental Illness Intermediate Care Facility
  • Lewistown, MT
National Provider Identifier
1528079720
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Intermediate Care FacilityTaxonomy code 310500000X
Legal business name
STATE OF MONTANA
Practice address
800 Casino Creek Dr
Lewistown, MT 59457-3359
Phone
(406) 538-7451
Fax
(406) 538-2863
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Authorized official

Name
Mrs. Aleasha Martin
Title
Facility Reimbursement Manager
Phone
(406) 444-3416

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Mental Illness Intermediate Care Facility 310500000X Primary
Nursing Facility/Intermediate Care Facility 313M00000X

Addresses

Primary practice location

800 Casino Creek Dr
Lewistown, MT 59457-3359

Mailing address

111 N Sanders St Dept 30
Helena, MT 59601-4520
Phone (406) 444-3416

Other identifiers 2

IdentifierTypeStateIssuer
2222391MedicaidMT
168103MedicaidMT

Other names 1

  • Montana Mental Health Nursing Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031211000579 MT Part B Supplier - Clinic/Group Practice 3870499676 Receives reassigned benefits from 34 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Boulder, MT; Butte, MT; Columbia Falls, MT; Lewistown, MT; Warm Springs, MT

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
John D Moore MD12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1528079720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N SANDERS ST DEPT 30",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014520",
            "telephone_number": "406-444-3416",
            "fax_number": "406-444-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CASINO CREEK DR",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594573359",
            "telephone_number": "406-538-7451",
            "fax_number": "406-538-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF MONTANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ALEASHA",
        "authorized_official_title_or_position": "FACILITY REIMBURSEMENT MANAGER",
        "authorized_official_telephone_number": "406-444-3416",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2222391",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168103",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montana Mental Health Nursing Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewistown, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.