CONTRACT NUMBER 23-101-74111-0Business Associate Agreement • May 4th, 2023 • Montana
Contract Type FiledMay 4th, 2023 JurisdictionTHIS CONTRACT, is entered into between the Montana Department of Public Health and Human Services, Behavioral Health and Developmental Disabilities Division (the "Department"), whose contact information is as follows: PO Box 202905 (mailing), 100 North Park Ste 300 (physical), Helena, MT, 59620, and Phone Number (406) 444-3964, and Fax Number (406) 444-7391, and County of Missoula (the “Contractor”), whose contact information is as follows: Federal Tax ID 81-6001397 , UEI Number Q6BNN4XM3LR5, 200 W. Broadway, Missoula, MT, 59802, Phone Number (406) 258-4904, and Fax Number (406) 258-3943; respectively (collectively, the “Parties”).