DEER LODGE
NPI 1821043621
Skilled Nursing Facility in Deer Lodge, MT

Active since May 23, 2006CLIA Certified · 2 labs
1100 TEXAS AVE, DEER LODGE, MT 59722(406) 846-1655 Get Directions Write a Review

NPPES record last updated: May 17, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Deer Lodge NPPES

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

DEER LODGE (NPI 1821043621) is a healthcare organization registered as a skilled nursing facility in Deer Lodge, Montana and active in the NPI registry since May 2006. The organization holds 2 active CLIA laboratory certificates and lists Michael T. Berg, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1821043621
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business Name1100 TEXAS AVENUE OPERATIONS LLC
Location Address1100 TEXAS AVEDeer Lodge, MT 59722-1829
Mailing Address1100 Texas AveDeer Lodge, MT 59722-1829 · (406) 846-1655
Organization SubpartYesParent: Peak Medical Montana Operations Llc
Authorized OfficialMichael T. BergAssistant Secretary · (505) 468-4752
Enumeration DateMay 23, 2006
Last NPPES UpdateMay 17, 2016
✔ NPI 1821043621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in MT · 12681
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
1100 TEXAS AVE, Deer Lodge, MT 59722

Other Names 1

Doing Business AsDeer Lodge

Other Identifiers 4

Medicaid0347718MT
Medicare OSCAR/certification275134MT
Medicaid0347701MT
Medicaid0310250MT

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 27D0410720

Deer Lodge Medical Center · Deer Lodge, MT
Active · expires Dec 22, 2027
CLIA Number27D0410720
Laboratory TypeHospital
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorDr. Kerrie Emerick
Laboratory Phone(406) 846-7700
Laboratory LocationDeer Lodge Medical Center1100 Hollenback Lane, Deer Lodge, MT 59722
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 27D2103242

Deer Lodge Medical Center - Ambulance · Deer Lodge, MT
Active · expires Oct 7, 2027
CLIA Number27D2103242
Laboratory TypeAmbulance
Certificate Effective DateOctober 8, 2025
Certificate Expiration DateOctober 7, 2027
Laboratory DirectorLori Schaed
Laboratory Phone(406) 846-9625
Laboratory LocationDeer Lodge Medical Center - Ambulance1100 Hollenback Lane, Deer Lodge, MT 59722
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Skilled Nursing Facility
1100 TEXAS AVE
DEER LODGE, MT 59722
Skilled Nursing Facility
1100 TEXAS AVE
DEER LODGE, MT 59722
Skilled Nursing Facility
1100 TEXAS AVE
DEER LODGE, MT 59722
Skilled Nursing Facility
1100 TEXAS AVE
DEER LODGE, MT 59722
Skilled Nursing Facility
1100 TEXAS AVE
DEER LODGE, MT 59722

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 1100 Texas Avenue Operations LLC's NPI number?

The NPI number for 1100 Texas Avenue Operations LLC is 1821043621. It was assigned to this organization in the NPPES registry on May 23, 2006. The provider is doing business as Deer Lodge.

Where is 1100 Texas Avenue Operations LLC located?

1100 Texas Avenue Operations LLC is located at 1100 Texas Ave, Deer Lodge, MT 59722. The listed phone number is (406) 846-1655.

What is 1100 Texas Avenue Operations LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does 1100 Texas Avenue Operations LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for 1100 Texas Avenue Operations LLC was last updated on May 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.