NPIMap

Organization Active NPI

Intermountain Community Clinic

  • Community/Behavioral Health Agency
  • Helena, MT
National Provider Identifier
1548544760
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INTERMOUNTAIN COMMUNITY CLINIC
Practice address
3240 Dredge Dr
Helena, MT 59602-0548
Phone
(406) 442-7920
Fax
(406) 442-7949
NPI assigned
Oct 6, 2011
Last updated
Nov 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Jennifer Williams
Title
Cao
Phone
(406) 457-4822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3240 Dredge Dr
Helena, MT 59602-0548

Mailing address

3240 Dredge Dr
Helena, MT 59602-0548
Phone (406) 442-7920

National Provider Directory

National Provider Directory
Tax ID family
Chemical Dependency10 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.

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1548544760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 DREDGE DR",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596020548",
            "telephone_number": "406-442-7920",
            "fax_number": "406-442-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 DREDGE DR",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596020548",
            "telephone_number": "406-442-7920",
            "fax_number": "406-442-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMOUNTAIN COMMUNITY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-06",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "406-457-4822"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.