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BITTERROOT FAMILY MEDICINE P.C. NPI 1083727374


NPI Information

NPI: 1083727374
Provider Name: BITTERROOT FAMILY MEDICINE, P.C.

Doing Business As: FAMILY MEDICINE CENTER OF THE BITTERROOT, P.C.

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 27D1025693

Address:
330 N 10TH ST
SUITE A
HAMILTON, MT
ZIP 59840
Phone: (406) 363-3627
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BITTERROOT FAMILY MEDICINE, P.C. is a primary care clinic center in Hamilton, MT. BITTERROOT FAMILY MEDICINE, P.C. NPI is 1083727374. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Medicine Center Of The Bitterroot, P.c..

The provider's business location address is:

330 N 10TH ST
SUITE A
HAMILTON, MT
ZIP 59840-319
Phone: (406) 363-3627
Fax: (406) 363-3638

The provider's authorized official is Craig S Myers .
The authorized official title is Practice Administrator and has the following contact phone number (406) 363-3627.

The CLIA number assigned to this NPI record is 27D1025693 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/17/2006 and was last updated on 4/24/2012.


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
1261QP2300XClinic/CenterPrimary CareYes

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
127D1025693OTHERMONTANACLIA #
2000083932MEDICARE ID-TYPE UNSPECIFIEDMONTANAMT GROUP MEDICARE I.D.
39970670MEDICAIDMONTANA

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

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