WESTERN MONTANA CLINIC PC NPI 1942253182

NPI Information

NPI: 1942253182
Provider Name: WESTERN MONTANA CLINIC PC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 27D2107905

Address:
500 WEST BROADWAY
MISSOULA, MT
ZIP 59802
Phone: (406) 721-5600
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WESTERN MONTANA CLINIC PC is a multi-specialty clinic center in Missoula, MT. WESTERN MONTANA CLINIC PC NPI is 1942253182. The provider is registered as an organization entity type.

The provider's business location address is:

500 WEST BROADWAY
MISSOULA, MT
ZIP 59802-008
Phone: (406) 721-5600
Fax: (406) 721-3907

The provider's authorized official is Dirk Gottman .
The authorized official title is President and has the following contact phone number (406) 721-5600.

The CLIA number assigned to this NPI record is 27D2107905 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 7/6/2021.

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	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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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