MISSOULA COMMUNITY HEALTH SERVICES, INC (NPI# 1710165105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710165105 |
| Entity Type | Organization |
| Organization Name | MISSOULA COMMUNITY HEALTH SERVICES, INC |
| Other Organization Name | TAMARACK MEDICAL CLINIC |
| Practice Address |
1208 6th Ave Superior MT 59872-9618 |
| Mailing Address |
Po Box 66 Superior MT 59872-0066 |
| Practice Telephone | 4068224278 |
| Practice Fax Number | 4068224912 |
| Mailing Telephone | 4068224278 |
| Mailing Fax Number | 4068224912 |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2019-04-05 |
| Authorized Official Name | MR. JOHN S MCNEECE (CEO) |
| Authorized Official Telephone | 4068224841 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Tamarack Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073080461 | Missoula Community Health Services, Inc | Clinic/Center | 1208 6th Ave, Superior, MT 59872-9667 | 2018-10-24 |
| 1720136088 | Missoula Community Health Services, Inc | Medicare Defined Swing Bed Unit | 1208 6th Ave, Superior, MT 59872-9618 | 2007-01-05 |
| Street Address |
1208 6TH AVE |
| City | SUPERIOR |
| State | MT |
| Zip Code | 59872-9618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548253131 | William Breck Howard | Radiology | 1208 6th Ave, Superior, MT 59872-9667 | 2005-08-30 |
| 1073080461 | Missoula Community Health Services, Inc | Clinic/Center | 1208 6th Ave, Superior, MT 59872-9667 | 2018-10-24 |
| 1477804060 | Nardy Stascavage | Registered Nurse | 1208 6th Ave, Superior, MT 59872-9618 | 2012-09-24 |
| 1073877742 | Mineral Regional Health Center Inc. | Clinic/Center | 1208 6th Ave, Superior, MT 59872-9618 | 2012-06-27 |
| 1902063688 | Providence Health & Services Mt | Internal Medicine | 1208 6th Ave, Superior, MT 59872-9618 | 2008-05-20 |
| 1720136088 | Missoula Community Health Services, Inc | Medicare Defined Swing Bed Unit | 1208 6th Ave, Superior, MT 59872-9618 | 2007-01-05 |
| 1093809196 | Missoula Community Health Services, Inc. | General Acute Care Hospital | 1208 6th Ave, Superior, MT 59872-9618 | 2006-10-03 |
| 1831290683 | Karyn Thornton | Physician Assistant | 1208 6th Ave, Superior, MT 59872-9618 | 2006-09-26 |
| 1154334712 | Laurel G. Chambers | Physician Assistant | 1208 6th Ave, Superior, MT 59872-9618 | 2006-08-14 |
| 1124031786 | Ernesto E. Ornelas | Nurse Practitioner | 1208 6th Ave, Superior, MT 59872-9618 | 2006-08-14 |
| Find all providers in the same location | ||||
| 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 |
| 1376637470 | Missoula Community Health Services, Inc. | Family Medicine | 1208 6th Ave E, Superior, MT 59872 | 2006-10-03 |
| 1578823589 | Stewart Andrew Mccracken | Counselor | 491 Shaw Gulch Ln, Superior, MT 59872-0124 | 2012-05-23 |
| Find all providers in zip 59872 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154963049 | Integrated Wound Care Management Wisconsin LLC | General Practice | 1800 New York Ave, Superior, WI 54880-2008 | 2019-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124687876 | Edward Michael Uriell | General Practice | 1607 Avenue E Apt 2, Billings, MT 59102-3064 | 2019-06-06 |
| 1346654167 | Wally Jean | General Practice | 107 H St W, Poplar, MT 59255 | 2014-06-19 |
| 1396159240 | Pierrette Toussaint | General Practice | 107 H. Street, Verne E. Gibbs Clinic, Poplar, MT 59255 | 2014-06-19 |
| 1225479918 | Thu Tran | General Practice | 126 Indian Health Way, Harlem, MT 59526-9489 | 2013-07-10 |
| 1497012009 | Roland Sweatman | General Practice | 1410 Stanley St, Missoula, MT 59802-3312 | 2012-04-19 |
| 1902079965 | Molly Elizabeth Biehl | General Practice | 210 E Crofoot Ln, Sheridan, MT 59749-7714 | 2008-04-10 |
| 1639399009 | Sage Medical Clinic PC | General Practice | 820 N. Montana Ave, Helena, MT 59601 | 2007-04-26 |
| 1225252935 | Richard J Best | General Practice | 101 Arrow St Dba Garden Wall Clinic, St. Ignatius, MT 59865 | 2007-04-12 |
| 1215005335 | Steven Bradley Sonntag | General Practice | 100 Cheyenne Ave., Lame Deer, MT 59043-0070 | 2006-11-30 |
| 1336221613 | Reed L Yeater | General Practice | 5 4th Ave East, Poison, MT 59860 | 2006-10-19 |
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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.