Active NPI
Silver Bow County Developmental Disabilities Council, Inc.
- Developmentally Disabled Services Day Training Agency
- Butte, MT
National Provider Identifier
1972652014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- SILVER BOW COUNTY DEVELOPMENTAL DISABILITIES COUNCIL, INC.
- Practice address
- 305 W Mercury St
Suite 105
Butte, MT 59701-1659 - Phone
- (406) 723-2070
- Fax
- (406) 723-5345
- NPI assigned
- Jan 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Todd J Hoar
- Title
- Executive Director
- Phone
- (406) 723-2070
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | MT | Primary |
Addresses
Primary practice location
305 W Mercury St
Suite 105
Butte, MT 59701-1659
Mailing address
305 W Mercury St
Suite 105
Butte, MT 59701-1659
Phone (406) 723-2070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000690744 | Medicaid | MT |
National Provider Directory
National Provider DirectoryLocations
305 W Mercury St
Ste 105
Butte, MT 59701
Phone (406) 723-2070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1972652014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 W MERCURY ST",
"address_2": "SUITE 105",
"city": "BUTTE",
"state": "MT",
"postal_code": "597011659",
"telephone_number": "406-723-2070",
"fax_number": "406-723-5345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 W MERCURY ST",
"address_2": "SUITE 105",
"city": "BUTTE",
"state": "MT",
"postal_code": "597011659",
"telephone_number": "406-723-2070",
"fax_number": "406-723-5345"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SILVER BOW COUNTY DEVELOPMENTAL DISABILITIES COUNCIL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HOAR",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "406-723-2070",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "MT",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000690744",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.