MISSOULA AIDS FUND, INC.


Address: 1500 W. Broadway Suite A, Missoula, MT 59802
Phone: (406) 543-4770

MISSOULA AIDS FUND, INC. (NPI# 1528587581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528587581
Entity Type Organization
Organization Name MISSOULA AIDS FUND, INC.
Practice Address 1500 W. Broadway Suite A
Missoula
MT 59802
Mailing Address 1500 W Broadway St Ste A
Missoula
MT 59808-2007
Practice Telephone (406) 543-4770
Mailing Telephone 4065434770
Enumeration Date 2017-09-11
Last Update Date 2017-09-11
Authorized Official Name CHRISTA WEATHERS (EXECUTIVE DIRECTOR)
Authorized Official Telephone 4065434770
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities

Office Location

Street Address 1500 W. BROADWAY SUITE A
City MISSOULA
State MT
Zip Code 59802

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1003255803 Jennifer Dawn Danielson Speech-Language Pathologist 2408 Duncan Drive, Missoula, MT 59802 2013-06-14
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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1164568994 Hkj Inc Clinic/Center 2801 S Russell St, Ste. 38, Missoula, MT 59801-7932 2007-01-29

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1386948453 Misfits, LLC Clinic/Center 1111 14th St S Ste C, Great Falls, MT 59405-4656 2011-01-04
1487818928 New Frontier Addiction Services, Inc. Clinic/Center 118 E 7th St Ste 2e, Anaconda, MT 59711-2953 2008-07-14
1053521633 Alcohol & Drug Services of Gallatin County Clinic/Center 2310 N 7th Ave, Bozeman, MT 59715-2550 2007-05-23
1629114624 Chouteau County Clinic/Center 1308 Franklin Street, Fort Benton, MT 59442-0459 2007-01-29
1225106842 Flathead Valley Chemical Dependency Clinic Inc Clinic/Center 1312 N Meridian Rd, Kalispell, MT 59904-0115 2006-12-01
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Competitor

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City MISSOULA
Zip Code 59802

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Dataset Information

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.

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