SUNBURST HEALTH LLC NPI 1093297764

NPI Information

  • NPI: 1093297764
  • Provider Name: SUNBURST HEALTH LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • :
  • Address: 2620 CONNERY WAY
    MISSOULA, MT
    ZIP 59808
  • Phone: (406) 203-9948

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NPI Details

SUNBURST HEALTH LLC is a mental health (including community mental health center) clinic center in Missoula, MT. SUNBURST HEALTH LLC NPI is 1093297764. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

2620 CONNERY WAY
MISSOULA, MT
ZIP 59808-325
Phone: (406) 203-9948
Fax: (406) 203-9949

The provider's authorized official is Jordan Stow .
The authorized official title is Credentialing Manager and has the following contact phone number (406) 291-0321.

The enumeration date for this NPI number is 8/30/2018 and was last updated on 11/19/2025.

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
11041C0700XSocial WorkerClinicalNo
2101YP2500XCounselorProfessionalNo
3261QM0850XClinic/CenterAdult Mental HealthNo
4101YA0400XCounselorAddiction (Substance Use Disorder)No
5104100000XSocial WorkerNo
6261Q00000XClinic/CenterNo
7363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
8175T00000XPeer SpecialistNo
9251B00000XCase ManagementNo
10363LP2300XNurse PractitionerPrimary CareNo
11101YM0800XCounselorMental HealthNo
12261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
13101Y00000XCounselorNo
14251S00000XCommunity/Behavioral HealthNo
15261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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: 11/21/2025

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