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MISSOULA SLEEP MEDICINE LLC NPI 1205885142


NPI Information

NPI: 1205885142
Provider Name: MISSOULA SLEEP MEDICINE, LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
910 BROOKS ST
SUITE 201
MISSOULA, MT
ZIP 59801
Phone: (406) 829-8053
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MISSOULA SLEEP MEDICINE, LLC is a specialist in Missoula, MT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MISSOULA SLEEP MEDICINE, LLC NPI is 1205885142. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

910 BROOKS ST
SUITE 201
MISSOULA, MT
ZIP 59801-783
Phone: (406) 829-8053
Fax: (406) 541-8062

The provider's authorized official is Rick B Wall .
The authorized official title is Member and has the following contact phone number (406) 829-8053.

The enumeration date for this NPI number is 5/8/2006 and was last updated on 1/12/2010.


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
1174400000XSpecialistC108330MONTANAYes

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
10034408MEDICAIDMONTANA
2000094581OTHERMONTANABLUE CROSS/BLUE SHIELD
3P00431402OTHERMONTANARR MEDICARE
4000081912MEDICARE PINMONTANA

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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