COMMUNITY MEDICAL CENTER DIALYSIS is an end-stage renal disease (esrd) treatment clinic center in Missoula, MT. COMMUNITY MEDICAL CENTER DIALYSIS NPI is 1992284814. The provider is registered as an organization entity type.
The provider's business location address is:
1325 S RESERVE ST
MISSOULA, MT
ZIP 59801-759
Phone: (406) 728-6585
Fax: (406) 728-6586
The provider's authorized official is William E Wood .
The authorized official title is President and has the following contact phone number (615) 327-3061.
The CLIA number assigned to this NPI record is 27D2132169 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 8/10/2018 and was last updated on 9/26/2019.