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THE MONTANA LODGE
NPI 1023385390
Substance Abuse Rehabilitation Facility in Prescott, AZ

Active since November 30, 2011
1630 SHOUP ST, PRESCOTT, AZ 86305(928) 227-2448(928) 268-3433 Get Directions Write a Review

NPPES record last updated: July 27, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About The Montana Lodge NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE MONTANA LODGE (NPI 1023385390) is a healthcare organization registered as a substance abuse rehabilitation facility in Prescott, Arizona and active in the NPI registry since November 2011. The organization lists Kenneth Chance, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1023385390
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameMONTANA SOCIETY INCORPORATED
Location Address1630 SHOUP STPrescott, AZ 86305-1343
Mailing AddressPo Box 10835Prescott, AZ 86304-0835 · (928) 515-3350 · Fax (928) 268-3433
Phone(928) 227-2448
Fax(928) 268-3433
Organization SubpartNo
Authorized OfficialKenneth ChanceCeo/president · (928) 288-2004
Enumeration DateNovember 30, 2011
Last NPPES UpdateJuly 27, 2015
✔ NPI 1023385390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in AZ · BH3965
Definition
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.
1630 SHOUP ST, Prescott, AZ 86305
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Other Names 1

Doing Business AsThe Montana Lodge

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRESCOTT ADDICTION RECOVERY CENTER LLC
Community/Behavioral Health
1630 SHOUP ST, SUITE B
PRESCOTT, AZ 86305
Yavapai County (928) 227-2448
ROBERT POTTER LASAC
Counselor (Addiction (Substance Use Disorder))
1630 SHOUP ST
PRESCOTT, AZ 86305
Yavapai County (928) 277-2448
PRESCOTT ADDICTION RECOVERY CENTER LLC
Community/Behavioral Health
1630 SHOUP ST, STE B
PRESCOTT, AZ 86305
Yavapai County (928) 227-2448

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Montana Society Incorporated's NPI number?

The NPI number for Montana Society Incorporated is 1023385390. It was assigned to this organization in the NPPES registry on November 30, 2011. The provider is doing business as The Montana Lodge.

Where is Montana Society Incorporated located?

Montana Society Incorporated is located at 1630 Shoup St, Prescott, AZ 86305. The listed phone number is (928) 227-2448.

What is Montana Society Incorporated's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

What insurance does Montana Society Incorporated accept?

Health plans from Blue Cross Blue Shield of Arizona list Montana Society Incorporated as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Montana Society Incorporated was last updated on July 27, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.