MR. GARY ALAN WINGFIELD NPI 1790802593

NPI Information

  • NPI: 1790802593
  • Provider Name: MR. GARY ALAN WINGFIELD
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Individual
  • Address: 1300 SPEEDWAY AVE
    MISSOULA, MT
    ZIP 59802
  • Phone: (406) 549-8127

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NPI Details

MR. Gary Alan Wingfield is an assisted living facility in Missoula, MT. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. MR. Gary Alan Wingfield NPI is 1790802593. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1300 SPEEDWAY AVE
MISSOULA, MT
ZIP 59802-566
Phone: (406) 549-8127
Fax: (406) 542-5202

The enumeration date for this NPI number is 3/25/2007 and was last updated on 2/24/2025.

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
1174400000XSpecialistNo
2376J00000XHomemakerNo
3310400000XAssisted Living Facility10995MONTANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10601477MEDICAIDMONTANA

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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