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PREMIER CARE PEDIATRICS LLC NPI 1215361761


NPI Information

NPI: 1215361761
Provider Name: PREMIER CARE PEDIATRICS, LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 27D1069355

Address:
926 13TH AVE S
GREAT FALLS, MT
ZIP 59405
Phone: (406) 770-3000
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PREMIER CARE PEDIATRICS, LLC is a pediatrics in Great Falls, MT. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PREMIER CARE PEDIATRICS, LLC NPI is 1215361761. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

926 13TH AVE S
GREAT FALLS, MT
ZIP 59405-406
Phone: (406) 770-3000
Fax: (406) 770-3146

The provider's authorized official is Michael K Garver .
The authorized official title is Ceo and has the following contact phone number (406) 770-3000.

The CLIA number assigned to this NPI record is 27D1069355 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2013 and was last updated on 12/27/2016.


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
1208000000XPediatricsYes
2363LP0200XNurse PractitionerPediatrics47073MONTANANo

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: 11/14/2023

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