MONTANA ENDOSCOPY CENTER, PLLC (NPI# 1154945921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154945921 |
Entity Type | Organization |
Organization Name | MONTANA ENDOSCOPY CENTER, PLLC |
Practice Address |
1930 W Broadway Ste B Missoula MT 59802 |
Mailing Address |
2808 S Ingram Mill Rd Bldg B Springfield MO 65804-4017 |
Practice Telephone | 4178892040 |
Mailing Telephone | 4178892040 |
Enumeration Date | 2020-06-08 |
Last Update Date | 2020-06-08 |
Authorized Official Name | ROBERT MCCARVILLE (ADMINISTRATOR) |
Authorized Official Telephone | 4178892040 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
Street Address |
1930 W BROADWAY STE B |
City | MISSOULA |
State | MT |
Zip Code | 59802 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1669711289 | Debra Sommer | Registered Nurse | 113 West Front Street, Ste 106, Missoula, MT 59802 | 2013-02-01 |
Find all providers in zip 59802 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639158645 | Big Sky Surgery Center, LLC | Clinic/Center | 2833 Fort Missoula Rd, Missoula, MT 59804-7408 | 2006-01-10 |
1407116338 | Facial Plastic and Reconstructive Surgery Montana PC | Clinic/Center | 805 S Reserve St, Missoula, MT 59801-2104 | 2012-05-25 |
1093726796 | Rocky Mountain Eye Surgery Center Inc | Clinic/Center | 700 West Kent, Missoula, MT 59801 | 2006-08-10 |
1407860745 | Providence Surgery Center | Clinic/Center | 902 N Orange St, Missoula, MT 59802-2916 | 2006-07-29 |
1639126303 | Missoula Bone & Joint Surgery Center, LLC | Clinic/Center | 2360 Mullan Rd, Suite B, Missoula, MT 59808-1811 | 2006-05-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285251132 | West Bozeman Surgery Center, LLC | Clinic/Center | 5031 S. Cottonwood Road, Suite 100, Bozeman, MT 59718 | 2020-06-26 |
1760836167 | Yellowstone Surgery Center LLC | Clinic/Center | 1739 Spring Creek Dr, Billings, MT 59102-6747 | 2016-04-21 |
1548626872 | Kalispell Regional Medical Center Inc | Clinic/Center | 106 Ridgewater Dr Ste B, Polson, MT 59860-8977 | 2015-12-31 |
1508163700 | Orthopaedic Neuro Institute Surgical Center, LLC | Clinic/Center | 1739 Spring Creek Lane, Suite 100, Billings, MT 59102 | 2011-02-24 |
1265645311 | Summit Surgery Center, LLC | Clinic/Center | 434 South Clark Street, Butte, MT 59701 | 2007-05-07 |
1770676447 | Summit Surgery Center LLC | Clinic/Center | 434 South Clark St., Butte, MT 59701-2836 | 2006-10-02 |
1487684213 | Same Day Surgery Center | Clinic/Center | 300 North Willson, Ste 600f, Bozeman, MT 59715 | 2006-07-04 |
1841275211 | Helena Surgicenter, LLC | Clinic/Center | 2440 Winne Ave, Suite 100, Helena, MT 59601-4905 | 2005-12-08 |
1447251327 | Great Falls Clinic Surgery Center LLC | Clinic/Center | 1509 29th St S, Great Falls, MT 59405-5363 | 2005-08-02 |
1497759955 | Yellowstone Surgery Center, LLC | Clinic/Center | 1144 N 28th St, Billings, MT 59101-0110 | 2005-06-10 |
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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.