Organization Active NPI

Patricia Flynn, Lac

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Billings, MT
National Provider Identifier
1942714902
Registry record updated Nov 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
0000309 Issued in MT
Legal business name
PATRICIA FLYNN, LAC
Practice address
1629 Avenue D Ste B4
Billings, MT 59102-3071
Phone
(406) 850-4477
NPI assigned
Nov 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2017

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

Authorized official

Name
Patricia Flynn, LAC
Title
Owner/Lac
Phone
(406) 850-4477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 0000309 MT Primary

Addresses

Primary practice location

1629 Avenue D Ste B4
Billings, MT 59102-3071

Mailing address

PO Box 20368
Billings, MT 59104-0368
Phone (406) 850-4477

Other identifiers 1

IdentifierTypeStateIssuer
0000309MedicaidMT

National Provider Directory

National Provider Directory

Locations

1629 Avenue D
Ste B4
Billings, MT 59102
Phone (406) 850-4477

NPI Registry JSON

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511827200000",
    "number": "1942714902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20368",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591040368",
            "telephone_number": "406-850-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 AVENUE D STE B4",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591023071",
            "telephone_number": "406-850-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA FLYNN, LAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-28",
        "last_updated": "2017-11-28",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER/LAC",
        "authorized_official_telephone_number": "406-850-4477",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MT",
            "license": "0000309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000309",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; 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.