Organization Active NPI

The Lodge at Lone Tree Creek

  • Assisted Living Facility
  • Sidney, MT
National Provider Identifier
1720954290
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
THE LODGE AT LONE TREE CREEK
Practice address
1015 7TH Ave SW
Sidney, MT 59270-4900
Phone
(406) 488-4682
Fax
(406) 488-8069
NPI assigned
Oct 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Authorized official

Name
Marlin Alcazar
Title
Admin Assistant
Phone
(406) 488-4682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1015 7TH Ave SW
Sidney, MT 59270-4900

Mailing address

1015 7TH Ave SW
Sidney, MT 59270-4900
Phone (406) 488-4682

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1720954290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 7TH AVE SW",
            "city": "SIDNEY",
            "state": "MT",
            "postal_code": "592704900",
            "telephone_number": "406-488-4682",
            "fax_number": "406-488-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 7TH AVE SW",
            "city": "SIDNEY",
            "state": "MT",
            "postal_code": "592704900",
            "telephone_number": "406-488-4682",
            "fax_number": "406-488-8069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LODGE AT LONE TREE CREEK",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-13",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "ALCAZAR",
        "authorized_official_first_name": "MARLIN",
        "authorized_official_title_or_position": "ADMIN ASSISTANT",
        "authorized_official_telephone_number": "406-488-4682"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidney, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.