NPIMap

Organization Active NPI

Sage Mountain Health

  • Addiction Medicine (Family Medicine) Physician
  • Butte, MT
National Provider Identifier
1881334605
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
SAGE MOUNTAIN HEALTH
Doing business as
Sage Mountain Health
Practice address
1341 Harrison Ave Ste 15
Butte, MT 59701-4801
Phone
(406) 249-2944
NPI assigned
Mar 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Authorized official

Name
Mikhail Joutovsky, DONPI 1942526173
Title
Owner
Phone
(406) 299-2944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0401X Primary

Addresses

Primary practice location

1341 Harrison Ave Ste 15
Butte, MT 59701-4801

Mailing address

1341 Harrison Ave Ste 15
Butte, MT 59701-4801
Phone (406) 299-2944

Other names 1

  • Sage Mountain Health Doing business as

National Provider Directory

National Provider Directory

Locations

1341 Harrison Ave
Ste 15
Butte, MT 59701
Phone (406) 249-2944

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1881334605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 HARRISON AVE STE 15",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597014801",
            "telephone_number": "406-299-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 HARRISON AVE STE 15",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597014801",
            "telephone_number": "406-249-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE MOUNTAIN HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "JOUTOVSKY",
        "authorized_official_first_name": "MIKHAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-299-2944",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sage Mountain Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sage Mountain Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Butte, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.