WHOLLY AUTHENTIC LIFE LLC NPI 1043930993

NPI Information

  • NPI: 1043930993
  • Provider Name: WHOLLY AUTHENTIC LIFE LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 201 1ST AVE N
    FAIRFIELD, MT
    ZIP 59436
  • Phone: (406) 799-2711

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NPI Details

WHOLLY AUTHENTIC LIFE LLC is a clinic center in Fairfield, MT. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). WHOLLY AUTHENTIC LIFE LLC NPI is 1043930993. The provider is registered as an organization entity type.

The provider's business location address is:

201 1ST AVE N
FAIRFIELD, MT
ZIP 59436-245
Phone: (406) 799-2711
Fax: (406) 467-3407

The provider's authorized official is Tammie S Smith .
The authorized official title is Mbr and has the following contact phone number (406) 799-2711.

The enumeration date for this NPI number is 8/31/2022 and was last updated on 9/29/2023.

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
1261Q00000XClinic/CenterYes

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: 3/30/2025

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