OPEN DOOR MEDICAL CLINIC NPI 1164165569

NPI Information

  • NPI: 1164165569
  • Provider Name: OPEN DOOR MEDICAL CLINIC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Doing Business As: OPEN DOOR WELLNESS CENTER
  • CLIA Number: 27D2252810
  • Address: 2 5TH ST N STE 204
    GREAT FALLS, MT
    ZIP 59401
  • Phone: (067) 508-2804

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NPI Details

OPEN DOOR MEDICAL CLINIC is a general practice in Great Falls, MT. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee OPEN DOOR MEDICAL CLINIC NPI is 1164165569. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Open Door Wellness Center.

The provider's business location address is:

2 5TH ST N STE 204
GREAT FALLS, MT
ZIP 59401-011
Phone: (067) 508-2804
Fax: (406) 205-0700

The provider's authorized official is Melonie Parmley .
The authorized official title is Medical Director and has the following contact phone number (406) 750-8280.

The CLIA number assigned to this NPI record is 27D2252810 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/14/2022 and was last updated on 9/26/2024.

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
1208D00000XGeneral PracticeYes
2363AM0700XPhysician AssistantMedicalNo

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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