NPI 1407987548 · live from the CMS NPI Registry
Blue Mountain Clinic, INC.
Family Medicine in Missoula, MT. National Provider Identifier 1407987548, active.
NPI record
| NPI | 1407987548 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 610 N California St, Missoula, MT 59802 |
| Practice phone | 406-721-1946 |
| Enumerated | March 8, 2007 |
| Last updated | May 24, 2016 |
| Authorized official | Annie Hansen, Executive Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 9607 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.