STATE OF MONTANA
NPI 1326058207
Intermediate Care Facility, Intellectual Disabilities in Boulder, MT

Active since August 09, 2006
310 FOURTH AVENUE, BOULDER, MT 59632(406) 225-4410(406) 225-4414 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About State Of Montana NPPES

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

STATE OF MONTANA (NPI 1326058207), doing business as Intensive Behavior Center, is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Boulder, Montana and active in the NPI registry since August 2006. The organization lists Aleasha Martin, Facility Reimbursement Manager, as its authorized official.

NPPES Registry Identity

NPI1326058207
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameSTATE OF MONTANA
Location Address310 FOURTH AVENUEBoulder, MT 59632-0087
Mailing Address111 N Sanders St Dept 30Helena, MT 59601-4520 · (406) 444-3416 · Fax (406) 444-3082
Fax(406) 225-4414
Organization SubpartNo
Authorized OfficialAleasha MartinFacility Reimbursement Manager · (406) 444-3416
Enumeration DateAugust 9, 2006
Last NPPES UpdateDecember 11, 2025
NPPES CertifiedDecember 11, 2025
✔ NPI 1326058207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in MT · 10867
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
310 FOURTH AVENUE, Boulder, MT 59632

Other Names 2

Doing Business AsIntensive Behavior Center
Doing Business AsMontana Developmental Center

Other Identifiers 7

Medicaid57-0037MT
Medicaid57-0063MT
Medicaid57-0336MT
Medicaid57-2598MT
Medicaid57-0095MT
Medicaid57-0061MT
Medicaid57-0050MT

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

State Of Montana is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

40

Medicare enrollment records show 40 clinicians reassign Medicare billing to State Of Montana, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Nurse Practitioner17
Psychiatry14
Family Practice6
Internal Medicine3

Nearest to this location (20)

See all 40
Family Practice
NPI 1568561413
3251 NETTIE ST
Butte, MT 59701
(406) 560-6679
✔ PECOS✔ Accepts Medicare25 mi
Psychiatry
NPI 1437165461
1125 MISSOULA AVE SUITE B
Helena, MT 59601
(406) 495-1515
✔ PECOS25 mi
Psychiatry
NPI 1144310020
1225 BIRCH ST
Helena, MT 59601
(406) 443-2977
✔ PECOS26 mi
Nurse Practitioner
NPI 1861849549
445 CENTENNIAL AVE
Butte, MT 59701
(406) 723-4075
✔ PECOS✔ Accepts Medicare27 mi
Family Practice
NPI 1831387166
445 CENTENNIAL AVE
Butte, MT 59701
(406) 496-6000
✔ PECOS✔ Accepts Medicare27 mi
Psychiatry
NPI 1144453473
300 GARNET WAY
Warm Springs, MT 59756
(406) 693-7000
✔ PECOS✔ Accepts Medicare32 mi
Nurse Practitioner
NPI 1487335386
300 GARNET WAY
Warm Springs, MT 59756
(406) 693-7000
✔ PECOS32 mi
Nurse Practitioner
NPI 1124780754
300 GARNET WAY
Warm Springs, MT 59756
(406) 693-7000
✔ PECOS✔ Accepts Medicare32 mi
Nurse Practitioner
NPI 1770142127
300 GARNET WAY
Warm Springs, MT 59756
(406) 693-7000
✔ PECOS✔ Accepts Medicare32 mi
Nurse Practitioner
NPI 1376232983
300 GARNET WAY
Warm Springs, MT 59756
(406) 693-7008
✔ PECOS32 mi
Nurse Practitioner
NPI 1225798473
300 GARNET WAY
Warm Springs, MT 59756
(406) 693-7000
✔ PECOS✔ Accepts Medicare32 mi
Psychiatry
NPI 1811438120
100 GARNET WAY
Warm Springs, MT 59756
(406) 693-7000
✔ PECOS✔ Accepts Medicare33 mi
Nurse Practitioner
NPI 1942846985
100 GARNET WAY
Warm Springs, MT 59756
(406) 693-7000
✔ PECOS33 mi
Psychiatry
NPI 1942855283
100 GARNET WAY
Warm Springs, MT 59756
(406) 693-7000
✔ PECOS33 mi
Nurse Practitioner
NPI 1578199428
300 GARNET WAY
Warm Springs, MT 59756
(406) 693-7000
✔ PECOS34 mi
Nurse Practitioner
NPI 1427314632
300 GARNET WAY
Warm Springs, MT 59756
(406) 693-7000
✔ PECOS34 mi
Nurse Practitioner
NPI 1255875811
1083 W PARK AVE
Anaconda, MT 59711
(406) 498-5449
✔ PECOS✔ Accepts Medicare41 mi
Psychiatry
NPI 1265758734
1101 26TH ST S
Great Falls, MT 59405
(406) 731-8888
✔ PECOS✔ Accepts Medicare96 mi
Family Practice
NPI 1891941662
408 WENDELL AVE
Lewistown, MT 59457
(406) 535-7711
✔ PECOS✔ Accepts Medicare139 mi
Internal Medicine
NPI 1467403345
408 WENDELL AVE
Lewistown, MT 59457
(406) 535-1502
✔ PECOS139 mi
See all 40 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 State Of Montana's NPI number?

The NPI number for State Of Montana is 1326058207. It was assigned to this organization in the NPPES registry on August 9, 2006. The provider is doing business as Intensive Behavior Center and Montana Developmental Center.

Where is State Of Montana located?

State Of Montana is located at 310 Fourth Avenue, Boulder, MT 59632. The listed phone number is (406) 225-4410.

What is State Of Montana's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Is State Of Montana enrolled in Medicare?

Yes. State Of Montana is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through State Of Montana?

According to the CMS Revalidation Reassignment List (October 2026 release), 40 clinicians in 4 Medicare specialties reassign their Medicare billing to State Of Montana. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (17), Psychiatry (14) and Family Practice (6). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does State Of Montana accept?

Health plans from Mountain Health CO-OP list State Of Montana 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 State Of Montana was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.