State of Montana

NPI #1275411548 in Deer Lodge, Montana

Provider Information

NPI Number: 1275411548
Entity Type: Organization
Organization Name: State of Montana
Subpart: Yes (part of a larger organization)
Parent Organization: STATE OF MONTANA
Primary Specialty: Clinic/Center
Enumeration Date: Aug 25, 2025
Last Updated: Aug 25, 2025

Practice Location

Address: 400 CONLEY LAKE RD
City: Deer Lodge
State: Montana
ZIP Code: 59722-8708
Phone: (406) 444-3930

Authorized Official

Name: SCOTT EYCHNER
Title: CEO -PROGRAMS & REHAB
Phone: (406) 444-9666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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