MOTHERS' MILK BANK OF MONTANA (NPI# 1407361736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407361736 |
Entity Type | Organization |
Organization Name | MOTHERS' MILK BANK OF MONTANA |
Practice Address |
2825 Stockyard Rd Ste C1 Missoula MT 59808-1502 |
Practice Telephone | 4065316789 |
Practice Fax Number | 8882871423 |
Mailing Telephone | 4065316789 |
Mailing Fax Number | 8882871423 |
Enumeration Date | 2017-12-08 |
Last Update Date | 2017-12-15 |
Authorized Official Name | JESSICA WELBORN (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 4065316789 |
Authorized Official Credential | PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | Other Service Providers | ||
Y | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers |
Street Address |
2825 STOCKYARD RD STE C1 |
City | MISSOULA |
State | MT |
Zip Code | 59808-1502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447720875 | Megan Elizabeth Galliford | Behavioral Analyst | 1647 Shindig Dr, Apt 303, Missoula, MT 59808 | 2018-11-28 |
1518473560 | Willow Mahana Nelson Griffith | Registered Nurse | 2829 Great Northern Loop Ste 300, Missoula, MT 59808 | 2017-12-28 |
1043739428 | Carol Elizabeth Mckenzie | Student in an Organized Health Care Education/Training Program | 2705 Oshaughnessy St, Missoula, MT 59808 | 2017-09-16 |
1558884064 | Sharon Marie Herndon | Nurse Practitioner | 2230 N Reserve St Ste 402, Missoula, MT 59808 | 2017-07-18 |
1427594761 | Erin Boggs | Specialist/Technologist | 2921 Dublin St, Missoula, MT 59808 | 2017-01-10 |
1942603287 | Benjamin Cody Mcintosh | Chiropractor | 1070 N. Russell St., Missoula, MT 59808 | 2014-10-01 |
1518219617 | Pure Medical Inc | Ambulance | 5515 Bonanza Place, Missoula, MT 59808 | 2012-10-12 |
1932462231 | Kathleen F Calcagno | Specialist/Technologist | 2615 Connery Way, Suite 2b, Missoula, MT 59808 | 2012-06-21 |
1639454127 | Dentyn Dunaway | Pharmacist | 2527 N Reserve Street, Missoula, MT 59808 | 2011-10-15 |
1750557690 | Carl Thornblade, Md, Pllc | Allergy & Immunology | 2801 Great Northern Loop Ste 101, Missoula, MT 59808 | 2008-04-30 |
Find all providers in zip 59808 |
Taxonomy Code | 332BP3500X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
Specialization | Parenteral & Enteral Nutrition |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346614179 | Umbrella Incontinence Care LLC | Durable Medical Equipment & Medical Supplies | 1520 N Russell St Apt 83, Missoula, MT 59808-2104 | 2015-11-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861820870 | Geneva Woods Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 1310 Elm St, Helena, MT 59601-0930 | 2013-10-30 |
1700868197 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 10 Mountain View Dr, Eureka, MT 59917-0327 | 2005-11-19 |
1437287612 | Frances Mahon Deaconess Hospital | Durable Medical Equipment & Medical Supplies | 621 3rd St S, Glasgow, MT 59230-2604 | 2007-03-01 |
1265548184 | Bundy Management Inc | Durable Medical Equipment & Medical Supplies | One 7th Ave East, Polson, MT 59860 | 2006-08-22 |
1124036868 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 2110 Overland Ave, Suite 128-129, Billings, MT 59102-6480 | 2006-08-04 |
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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.