WILDERNESS TREATMENT CENTER – NPI #1144372012
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

WILDERNESS TREATMENT CENTER is a substance abuse rehabilitation facility located in MARION, MT. NPPES has assigned the NPI number 1144372012 to WILDERNESS TREATMENT CENTER on January 18, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WILDERNESS TREATMENT CENTER” is a dba name, the actual legal business name for this organization is WILDERNESS ALTERNATIVE SCHOOL, INC. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 14 years ago on Feb 21, 2012. 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 WILDERNESS TREATMENT CENTER below.

NPI Profile for
WILDERNESS ALTERNATIVE SCHOOL, INC

NPI Number
1144372012
Enumeration Date

(more than 19 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
WILDERNESS ALTERNATIVE SCHOOL, INC
Doing Business As (dba): WILDERNESS TREATMENT CENTER
Primary location
200 HUBBART DAM RD
MARION, MT 59925-9708
Phone: (406) 854-2832 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOHN BREKKE
PRESIDENT
Phone: (406) 854-2832
Updated
Identifiers

Identifiers for WILDERNESS TREATMENT CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHIELDMT02662
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
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
MT 10132

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.