GATEWAY FREEDOM RANCH – NPI #1124499660
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

GATEWAY FREEDOM RANCH is a community based residential treatment facility located in EUREKA, MT. NPPES has assigned the NPI number 1124499660 to GATEWAY FREEDOM RANCH on October 09, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was previously updated about 9 years ago on Dec 09, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GATEWAY FREEDOM RANCH below.

NPI Profile for
GATEWAY FREEDOM RANCH

NPI Number
1124499660
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GATEWAY FREEDOM RANCH
Primary location
111 GLEN LAKE DR
EUREKA, MT 59917-9680
Phone: (406) 889-7996 Fax: (406) 889-9193
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LISA MAREK
DIRECTOR
Phone: (406) 889-7996
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.