Provider Demographics
NPI:1427495738
Name:ELATION INC
Entity type:Organization
Organization Name:ELATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BOB
Authorized Official - Middle Name:
Authorized Official - Last Name:CARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-294-2400
Mailing Address - Street 1:PO BOX 3294
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59103-3294
Mailing Address - Country:US
Mailing Address - Phone:406-294-2400
Mailing Address - Fax:406-294-2419
Practice Address - Street 1:208 N BROADWAY
Practice Address - Street 2:STE 208
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-1937
Practice Address - Country:US
Practice Address - Phone:406-294-2400
Practice Address - Fax:406-294-2419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-28
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty