MISSOULA COMMUNITY HEALTH SERVICES, INC. (NPI# 1376637470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376637470 |
| Entity Type | Organization |
| Organization Name | MISSOULA COMMUNITY HEALTH SERVICES, INC. |
| Other Organization Name | TAMARACK MEDICAL CLINIC |
| Practice Address |
1208 6th Ave E Superior MT 59872 |
| Mailing Address |
Po Box 66 Superior MT 59872 |
| Practice Telephone | 4068224841 |
| Practice Fax Number | 4068224963 |
| Mailing Telephone | 4068224841 |
| Mailing Fax Number | 4068224963 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2019-04-05 |
| Authorized Official Name | MR. JOHN S MCNEECE (CEO) |
| Authorized Official Telephone | 4068224841 |
| Is Organization Subpart | Y |
| Parent Organization Name | MISSOULA COMMUNITY HEALTH SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | MT | Allopathic & Osteopathic Physicians | |
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
11203 | MT | Ambulatory Health Care Facilities |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
MT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 720460 | 05 | |
| MT | PASSPORT PROVIDER NUMBER | 9989941 | 01 |
| MT | BLUE CROSS BLUE SHEILD | 0000066882 | 01 |
| Other Name | Type Code |
|---|---|
| Tamarack Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093809196 | Missoula Community Health Services, Inc. | General Acute Care Hospital | 1208 6th Ave, Superior, MT 59872-9618 | 2006-10-03 |
| 1902990005 | Missoula Community Health Services, Inc. | General Acute Care Hospital | 1208 6th Ave E, Superior, MT 59872-9618 | 2006-10-03 |
| Street Address |
1208 6TH AVE E |
| City | SUPERIOR |
| State | MT |
| Zip Code | 59872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447251319 | Gregory S Houlihan | Family Medicine | 1208 6th Ave E, Superior, MT 59822-9618 | 2005-08-02 |
| 1902990005 | Missoula Community Health Services, Inc. | General Acute Care Hospital | 1208 6th Ave E, Superior, MT 59872-9618 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265943237 | Tyler Quintinn Steinebach | Emergency Medical Technician, Intermediate | 502 Main Avenue, Superior, MT 59872 | 2017-10-18 |
| 1386160976 | Leann Joyce Anderson | Counselor | 304 4th Ave E, Superior, MT 59872 | 2017-08-16 |
| 1386043289 | Charles D. Avery | Massage Therapist | 120 Second Ave E., Superior, MT 59872 | 2014-08-15 |
| 1811208929 | Brenda Kh Reynolds | Massage Therapist | 400 Tami Dr E, Superior, MT 59872 | 2010-06-24 |
| 1588852578 | Superior Elementary School | Community Based Residential Treatment Facility, Mental Illness | 1003 5th Avenue East, Superior, MT 59872 | 2007-10-04 |
| 1285702670 | Dana W Austin | Physical Therapist | 406 2nd Avenue East, Superior, MT 59872 | 2006-12-01 |
| 1508877291 | Victor Labarre Stampley | Social Worker | 405 Brooklyn Avenue, Superior, MT 59872 | 2006-08-10 |
| 1235178906 | Superior Volunteer Fire Company Inc | Ambulance | 310 River St, Superior, MT 59872 | 2006-06-06 |
| 1578823589 | Stewart Andrew Mccracken | Counselor | 491 Shaw Gulch Ln, Superior, MT 59872-0124 | 2012-05-23 |
| 1265066500 | Masc LLC | Counselor | 491 Shaw Gulch Lane, Superior, MT 59872-0214 | 2020-02-25 |
| Find all providers in zip 59872 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1205038379 | Phillips County Hospital Assn | Clinic/Center | 315 Sth 8th Ave E, Malta, MT 59538 | 2007-06-01 |
| 1942321120 | Granite County Hospital District | Clinic/Center | 26 East Broad St, Drummond, MT 59832-0312 | 2007-04-03 |
| 1851425789 | Three Rivers Clinic LLC | Clinic/Center | 16 Railway Ave, Three Forks, MT 59752-1078 | 2007-03-15 |
| 1750459632 | Daniels Memorial Hospital | Clinic/Center | 105 5th Ave. East, Scobey, MT 59263 | 2006-12-01 |
| 1003984097 | Liberty County Hospital and Nursing Home, Inc | Clinic/Center | 418 West Monroe Avenue, Chester, MT 59522-0506 | 2006-11-30 |
| 1730252883 | Sidney Health Center | Clinic/Center | 304 S Ellery, Fairview, MT 59221 | 2006-11-16 |
| Find all providers with the same taxonomy | ||||
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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.