State of Montana

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1326058207

State of Montana is an Intellectual Disabilities Intermediate Care Facility in Boulder, Montana. Licensed in Montana. Registered with an NPI since 2006.

Licensed in: MT
In the registry since: 2006

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

310 Fourth Ave
Boulder, MT 59632-0087
Phone: (406) 225-4410
Fax: (406) 225-4414

Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary)	Taxonomy 315P00000X · Licence 10867 (MT)

Record details

NPI number	1326058207
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Aleasha Martin — Facility Reimbursement Manager · (406) 444-3416
Other names	Intensive Behavior Center; Montana Developmental Center
NPI enumerated	August 9, 2006
Last updated in NPPES	December 11, 2025
Certification date	December 11, 2025
Mailing address	111 N Sanders St Dept 30, Helena, MT 59601-4520