HOME HEALTH OF MONTANA PRIVATE SERVICES LLC


Address: 29 Fort Missoula Road, Missoula, MT 59804
Phone: 4065412036

HOME HEALTH OF MONTANA PRIVATE SERVICES LLC (NPI# 1710286596) 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) 1710286596
Entity Type Organization
Organization Name HOME HEALTH OF MONTANA PRIVATE SERVICES LLC
Other Organization Name IT STARTS WITH ME
Practice Address 29 Fort Missoula Road
Missoula
MT 59804
Practice Telephone 4065412036
Practice Fax Number 4065321861
Mailing Telephone 4065412036
Mailing Fax Number 4062030863
Enumeration Date 2011-03-20
Last Update Date 2015-02-17
Authorized Official Name MR. DANIEL P. KEITH (MANAGING PARTNER)
Authorized Official Telephone 4065412036
Authorized Official Credential MBA, RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QC1800X Clinic/Center
Specialization: Corporate Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
It Starts With Me Doing Business As Name - Organization

Office Location

Street Address 29 FORT MISSOULA ROAD
City MISSOULA
State MT
Zip Code 59804

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1033633037 Marissa Clark Genetic Counselor, MS 2827 Fort Missoula Rd., Suite 317, Missoula, MT 59804 2017-08-01
1104295245 Scott Richter Specialist/Technologist 2892 Ringo Dr, Missoula, MT 59804 2015-09-18
1467860353 Zachary Ueland Pharmacist 4000 Highway 93 South, Missoula, MT 59804 2014-07-24
1316378185 Tracy Laurel Brothers Counselor 1305 Wyoming Street, Missoula, MT 59804 2013-12-04
1447683651 Granite Pharmacy Missoula, LLC Durable Medical Equipment & Medical Supplies 2230 27th Ave. West, Suite 2, Missoula, MT 59804 2013-08-12
1871843953 Autum Emerson Howell Nurse Practitioner 2831 Ft. Missoula Rd. Bldg 2, 102, Missoula, MT 59804 2012-09-14
1821353939 Carlyn Doyle Nurse Practitioner 2835 Fort Missoula Rd Ste 203, Missoula, MT 59804 2012-07-05
1396011961 Patricia Jean Evans Internal Medicine 702 S.w. Higgins, First Choice Medical Clinic, Missoula, MT 59804 2012-03-28
1205126794 Pacific Medical, Inc. Prosthetic/Orthotic Supplier 2732 South Ave West, Suite 202, Missoula, MT 59804 2011-04-18
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Taxonomy Information

Taxonomy Code 261QC1800X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Corporate Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255879615 Western Health Screening Clinic/Center 235 Moore Ln, Suite 120, Billings, MT 59101-3446 2017-02-06
1043480767 Nurse On The Run, LLC Clinic/Center 835 Highland Drive, Whitefish, MT 59937-8110 2008-03-10

Competitor

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City MISSOULA
Zip Code 59804

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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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