MISSOULA COMMUNITY HEALTH SERVICES INC. NPI 1376637470

NPI Information

MISSOULA COMMUNITY HEALTH SERVICES, INC. is a rural health clinic center in Superior, MT. MISSOULA COMMUNITY HEALTH SERVICES, INC. NPI is 1376637470. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Tamarack Medical Clinic.

The provider's business location address is:

1208 6TH AVE E
SUPERIOR, MT
ZIP 59872
Phone: (406) 822-4841
Fax: (406) 822-4963

The provider's authorized official is John S Mcneece .
The authorized official title is Ceo and has the following contact phone number (406) 822-4841.

The CLIA number assigned to this NPI record is 27D2158815 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 4/5/2019.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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