DBA PHC RUSSELL ELEMENTARY NPI 1215769906

NPI Information

  • NPI: 1215769906
  • Provider Name: DBA PHC RUSSELL ELEMENTARY
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • :
  • Address: 3216 S RUSSELL ST
    MISSOULA, MT
    ZIP 59801
  • Phone: (406) 370-0487

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NPI Details

DBA PHC RUSSELL ELEMENTARY is a mental health counselor in Missoula, MT. DBA PHC RUSSELL ELEMENTARY NPI is 1215769906. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

3216 S RUSSELL ST
MISSOULA, MT
ZIP 59801-537
Phone: (406) 370-0487
Fax: (406) 258-4732

The provider's authorized official is Lara Salazar .
The authorized official title is Billing Manager and has the following contact phone number (406) 258-3360.

The enumeration date for this NPI number is 8/20/2024 and was last updated on 2/21/2025.

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
1101YM0800XCounselorMental HealthYes
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)No

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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