MISSOULA URBAN INDIAN HEALTH CENTER INC. NPI 1285769786

NPI Information

NPI: 1285769786
Provider Name: MISSOULA URBAN INDIAN HEALTH CENTER, INC.

Former Legal Business Name: MISSOULA INDIAN CENTER, INC.

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
830 W CENTRAL AVE
MISSOULA, MT
ZIP 59801
Phone: (406) 829-9515
Get Directions

MISSOULA URBAN INDIAN HEALTH CENTER, INC. is a rehabilitation and substance use disorder clinic center in Missoula, MT. MISSOULA URBAN INDIAN HEALTH CENTER, INC. NPI is 1285769786. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Missoula Indian Center, Inc..

The provider's business location address is:

830 W CENTRAL AVE
MISSOULA, MT
ZIP 59801-931
Phone: (406) 829-9515
Fax: (406) 829-9519

The provider's authorized official is Leeann Bruised Head .
The authorized official title is Executive Director and has the following contact phone number (406) 829-9515.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 11/18/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	224-15	MONTANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0320025	MEDICAID	MONTANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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