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RAVALLI FAMILY MEDICINE LLC NPI 1346326824


NPI Information

NPI: 1346326824
Provider Name: RAVALLI FAMILY MEDICINE, LLC

Other Name: RAVALLI FAMILY MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 27D1020200

Address:
411 W MAIN STREET
HAMILTON, MT
ZIP 59840
Phone: (406) 363-5104
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RAVALLI FAMILY MEDICINE, LLC is a family medicine in Hamilton, MT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. RAVALLI FAMILY MEDICINE, LLC NPI is 1346326824. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Ravalli Family Medicine.

The provider's business location address is:

411 W MAIN STREET
HAMILTON, MT
ZIP 59840-470
Phone: (406) 363-5104
Fax: (406) 363-2894

The provider's authorized official is Kathleen A. Harder-bronwer .
The authorized official title is Owner and has the following contact phone number (406) 363-5104.

The CLIA number assigned to this NPI record is 27D1020200 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/27/2006 and was last updated on 8/18/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1273829MEDICARE OSCAR/CERTIFICATIONMONTANA
2000083729MEDICARE PINMONTANA

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

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