The Montana Lodge

LBN: Montana Society Incorporated
The Montana Lodge is an health care organization with primary practice located at 1630 Shoup St , Prescott AZ 86305-1343. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Montana Society Incorporated can be contacted via phone (928) 227-2448, or through Chance, Kenneth via phone (928) 288-2004.

Contact Information

Primary practice address
1630 Shoup St Prescott AZ 86305-1343
Phone: (928) 227-2448
Fax: (928) 268-3433
Website:
Map and Directions
Authorized official contact:
Name: Chance, Kenneth
Phone: (928) 288-2004

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X BH3965 Arizona

Profile Details

NPI number 1023385390
LBN Legal business name Montana Society Incorporated
DBA Doing business as The Montana Lodge
Authorized official Chance, Kenneth
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2011
Last updated Jul 27th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers