MISSOURI RIVER HEALTHCARE NPI 1588843304

NPI Information

NPI: 1588843304
Provider Name: MISSOURI RIVER HEALTHCARE
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 27D1044552

Address:
926 13TH AVE S
GREAT FALLS, MT
ZIP 59405
Phone: (406) 761-5252
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MISSOURI RIVER HEALTHCARE is a family nurse practitioner in Great Falls, MT. MISSOURI RIVER HEALTHCARE NPI is 1588843304. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

926 13TH AVE S
GREAT FALLS, MT
ZIP 59405-406
Phone: (406) 761-5252
Fax: (406) 761-3626

The provider's authorized official is Ladonna Kay Ladd .
The authorized official title is Owner/provider and has the following contact phone number (406) 761-5252.

The CLIA number assigned to this NPI record is 27D1044552 - practitioner other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/29/2007 and was last updated on 10/29/2007.

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	363LF0000X	Nurse Practitioner	Family	RN23096	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	S12761	MEDICARE UPIN	MONTANA
2	4306338	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: 4/28/2024

NPI Synchronization or Removal

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