PETTY CREEK RANCH LLC – NPI #1417581125
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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

PETTY CREEK RANCH LLC is a substance abuse rehabilitation facility located in ALBERTON, MT. NPPES has assigned the NPI number 1417581125 to PETTY CREEK RANCH LLC on March 03, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 3245S0500X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children

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 PETTY CREEK RANCH LLC below.

NPI Profile for
PETTY CREEK RANCH LLC

NPI Number
1417581125
Enumeration Date

(more than 6 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
PETTY CREEK RANCH LLC
Primary location
2161 PETTY CREEK RD
ALBERTON, MT 59820-9401
Phone: (406) 722-3226 Fax:
Mailing address
PO BOX 289
ALBERTON, MT 59820-0289
Phone: (406) 722-3226 Fax:
Organization Subpart
No
Authorized Official
MICHAEL MORSO
CEO
Phone: (307) 254-4191
Updated
Certification Date
Mar 03, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
3245S0500X
- Substance Abuse Rehabilitation Facility / Substance Abuse Treatment, Children (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.