WESTERN MONTANA CLINIC (NPI# 1043415417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043415417 |
| Entity Type | Organization |
| Organization Name | WESTERN MONTANA CLINIC |
| Practice Address |
500 W Broadway St Missoula MT 59802-4008 |
| Mailing Address |
Po Box 7609 Missoula MT 59807-7609 |
| Practice Telephone | 4067215600 |
| Practice Fax Number | 4067213907 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2009-03-23 |
| Authorized Official Name | JOYCE E STEVENS (DIR OF ANCILLARY & SATELLITE SRVS) |
| Authorized Official Telephone | 4067215600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
500 W BROADWAY ST |
| City | MISSOULA |
| State | MT |
| Zip Code | 59802-4008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600359 | Kendra B. Lee | Family Medicine | 500 W Broadway St, Missoula, MT 59802-4008 | 2005-06-21 |
| 1205468725 | Stephanie Elizabeth Carl | Physician Assistant | 500 W Broadway St, Missoula, MT 59802-4008 | 2020-02-12 |
| 1942840483 | Credena Health LLC | Durable Medical Equipment & Medical Supplies | 500 W Broadway St, Missoula, MT 59802-4008 | 2020-01-13 |
| 1346880119 | Kaylyn Casebolt Desrosier | Pharmacist | 500 W Broadway St, Missoula, MT 59802-4008 | 2020-01-09 |
| 1689168049 | Kacia Bundle | Nurse Practitioner | 500 W Broadway St, Missoula, MT 59802-4008 | 2018-06-19 |
| 1114424488 | Hannah Gilliland | Nurse Practitioner | 500 W Broadway St, Missoula, MT 59802-4008 | 2018-04-12 |
| 1386164408 | Sandra Lynn Cummins | Social Worker | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-06-20 |
| 1548797152 | Joseph M Miller | Internal Medicine | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-05-12 |
| 1083147664 | Matthew Mcgady | Physician Assistant | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-04-10 |
| 1982135216 | Meeka Pradeep Gandhi | Pediatrics | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
| 1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
| 1386122752 | The Hope Health Alliance, Inc. | Case Management | 314 White House Ln, Missoula, MT 59802 | 2018-07-30 |
| 1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
| 1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
| 1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
| 1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
| 1720481971 | Anna Golding | Counselor | 1325 Wyoming Street, Missoula, MONTANA 59802 | 2014-10-02 |
| 1003255803 | Jennifer Dawn Danielson | Speech-Language Pathologist | 2408 Duncan Drive, Missoula, MT 59802 | 2013-06-14 |
| 1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
| Find all providers in zip 59802 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215479365 | Shields LLC | Durable Medical Equipment & Medical Supplies | 1315 Wyoming St Ste B, Missoula, MT 59801-1725 | 2016-11-07 |
| 1588028112 | Sapphire Lifts and Mobility | Durable Medical Equipment & Medical Supplies | 2140 North Ave W, Missoula, MT 59801-5358 | 2016-04-10 |
| 1124483326 | Martyn Canine Behavior | Durable Medical Equipment & Medical Supplies | 3735 Big Flat Rd, Missoula, MT 59804-9418 | 2015-12-15 |
| 1578996773 | G & E Ventures Inc | Durable Medical Equipment & Medical Supplies | 2230 27th Ave Ste 1, Missoula, MT 59804-5128 | 2013-08-12 |
| 1447683651 | Granite Pharmacy Missoula, LLC | Durable Medical Equipment & Medical Supplies | 2230 27th Ave. West, Suite 2, Missoula, MT 59804 | 2013-08-12 |
| 1225381205 | Missoula Valley Medical | Durable Medical Equipment & Medical Supplies | 3295 Cathy Ct, Missoula, MT 59803 | 2012-10-16 |
| 1063786077 | Ankle & Foot Care Clinic, PC | Durable Medical Equipment & Medical Supplies | 2831 Fort Missoula Rd Ste 302, Missoula, MT 59804-7401 | 2012-03-08 |
| 1891934386 | Positive Outlooks | Durable Medical Equipment & Medical Supplies | 6105 Mainview Dr, Missoula, MT 59803-3328 | 2009-02-06 |
| 1487826293 | C & J Medical, L.L.C. | Durable Medical Equipment & Medical Supplies | 1846 Frey Ln, Missoula, MT 59808-1250 | 2008-04-01 |
| 1598959504 | Montana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2420 N Reserve St, Missoula, MT 59808-1317 | 2007-09-02 |
| Find all providers in MISSOULA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.