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EVERGREEN CLINIC PC NPI 1538390844


NPI Information

NPI: 1538390844
Provider Name: EVERGREEN CLINIC PC

Doing Business As: EVERGREEN CLINIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 27D0974714

Address:
2181 HIGHWAY 2 EAST
SUITE 9
KALISPELL, MT
ZIP 59901
Phone: (406) 756-7225
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EVERGREEN CLINIC PC is a clinic center in Kalispell, MT. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). EVERGREEN CLINIC PC NPI is 1538390844. The provider is registered as an organization entity type.
The provider Is Doing Business As Evergreen Clinic.

The provider's business location address is:

2181 HIGHWAY 2 EAST
SUITE 9
KALISPELL, MT
ZIP 59901-858
Phone: (406) 756-7225
Fax: (406) 756-5523

The provider's authorized official is Jill B Ripley .
The authorized official title is Owner and has the following contact phone number (406) 756-7225.

The CLIA number assigned to this NPI record is 27D0974714 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/4/2009 and was last updated on 8/4/2009.


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
1261Q00000XClinic/CenterYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.