The Montana VA Health Care System provides a VA presence in every major city in the state of Montana. The Fort Harrison VA Medical Center is a 34-bed acute care (including 6 in ICU), medical-surgical facility that offers a broad range of acute, chronic, and specialized inpatient and outpatient services for both male and female veterans. Specialty care includes dental, internal medicine, neurology, palliative care, pain management, medical oncology, surgery (general, vascular, laparoscopic, endoscopic), urology, orthopedics, plastic surgery, ophthalmology, podiatry, chiropractic care, behavioral health (including outpatient substance abuse treatment and PTSD & MST specific care), ambulatory care (primary care, nutrition/diabetes, rehab and social services), and rehabilitation (physical therapy, occupational therapy, speech & language pathology, and cardiac rehabilitation). Radiology Service provides a broad range of diagnostic and interventional care provided on a full time basis. Pathology Services are available on site also provided on a full time basis. Telemedicine services are available for behavioral health, radiology, dermatology, gynecology, primary care, ophthalmology, nutrition, diabetes and tele-home health. The Fort Harrison facility also operates an additional 24-bed residential mental health facility that provides residential PTSD and Substance Abuse programs. The Medical Center is co-located with the VBA Regional Office. Fort Harrison is located on 138 acres in a picturesque setting on the eastern slopes of the Rocky Mountains. The facility campus adjoins the city limits of Helena, the capital of Montana. A 30-bed Community Living Center (CLC) located in Miles City provides skilled-nursing, medical care and physical therapy. Primary care is provided at eleven Community Based Outpatient Clinics across the state: Anaconda, Billings, Bozeman, Cutbank, Glasgow, Glendive, Great Falls, Hamilton, Havre, Kalispell, Lewistown, Miles City, and Missoula. Two Primary Care Telehealth Outreach Clinics are located in Hamilton and Plentywood. The Sleep Disorders Clinic is located in Helena.