Provider Demographics
NPI:1609120799
Name:MONTANA HEALTH NETWORK, INC
Entity Type:Organization
Organization Name:MONTANA HEALTH NETWORK, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:BASTIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-234-1420
Mailing Address - Street 1:11 S 7TH ST
Mailing Address - Street 2:SUITE 241
Mailing Address - City:MILES CITY
Mailing Address - State:MT
Mailing Address - Zip Code:59301-3216
Mailing Address - Country:US
Mailing Address - Phone:406-234-1420
Mailing Address - Fax:406-234-1423
Practice Address - Street 1:1925 GRAND AVE
Practice Address - Street 2:SUITE 134
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-2764
Practice Address - Country:US
Practice Address - Phone:406-256-1084
Practice Address - Fax:406-256-1426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-29
Last Update Date:2012-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management