LAKE COUNTY CHEMICAL DEPENDENCY PROGRAM
NPI 1619909488
Clinic/Center - Rehabilitation, Substance Use Disorder in Polson, MT

Active since July 06, 2006
802 MAIN ST STE C, POLSON, MT 59860(406) 883-7310(406) 883-7312 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lake County Chemical Dependency Program NPPES

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

LAKE COUNTY CHEMICAL DEPENDENCY PROGRAM (NPI 1619909488) is a healthcare organization registered as a rehabilitation, substance use disorder in Polson, Montana and active in the NPI registry since July 2006. The organization lists Theresa Oakland, Director, as its authorized official.

NPPES Registry Identity

NPI1619909488
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameLAKE COUNTY CHEMICAL DEPENDENCY PROGRAM
Location Address802 MAIN ST STE CPolson, MT 59860-3200
Mailing Address802 Main St Ste CPolson, MT 59860-3200 · (406) 883-7310 · Fax (406) 883-7312
Fax(406) 883-7312
Organization SubpartNo
Authorized OfficialTheresa OaklandDirector · (406) 883-7310
Enumeration DateJuly 6, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1619909488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License Licensed in MT · 251
802 MAIN ST STE C, Polson, MT 59860

Other Identifiers 2

Other760850MT · Blue Cross Blue Shield Id
Medicaid0320099MT

Other Providers at the Same Location NPPES 6

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

Counselor (Addiction (Substance Use Disorder))
802 MAIN ST STE C
POLSON, MT 59860
Counselor (Addiction (Substance Use Disorder))
802 MAIN ST STE C
POLSON, MT 59860
Counselor (Addiction (Substance Use Disorder))
802 MAIN ST STE C
POLSON, MT 59860
Counselor (Addiction (Substance Use Disorder))
802 MAIN ST STE C
POLSON, MT 59860
Counselor (Addiction (Substance Use Disorder))
802 MAIN ST STE C
POLSON, MT 59860
Counselor (Addiction (Substance Use Disorder))
802 MAIN ST STE C
POLSON, MT 59860

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 Lake County Chemical Dependency Program's NPI number?

The NPI number for Lake County Chemical Dependency Program is 1619909488. It was assigned to this organization in the NPPES registry on July 6, 2006.

Where is Lake County Chemical Dependency Program located?

Lake County Chemical Dependency Program is located at 802 Main St Ste C, Polson, MT 59860. The listed phone number is (406) 883-7310.

What is Lake County Chemical Dependency Program's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Lake County Chemical Dependency Program was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.