NPI 1841835113 · live from the CMS NPI Registry
Origin Health LLC
Obstetrics & Gynecology, Maternal & Fetal Medicine in Missoula, MT. National Provider Identifier 1841835113, active.
NPI record
| NPI | 1841835113 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Obstetrics & Gynecology, Maternal & Fetal Medicine 207VM0101X |
| Practice location | 2831 Fort Missoula Rd Ste 232, Missoula, MT 59804 |
| Practice phone | 406-523-5650 |
| Enumerated | November 11, 2019 |
| Last updated | June 23, 2020 |
| Authorized official | Stephen Loosli, Executive Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology | 207V00000X | — |
| Obstetrics & Gynecology, Critical Care Medicine | 207VC0200X | — |
| Obstetrics & Gynecology, Gynecology | 207VG0400X | — |
| Obstetrics & Gynecology, Obstetrics | 207VX0000X | — |
| Radiology, Diagnostic Ultrasound | 2085U0001X | — |
| Radiologic Technologist, Sonography | 2471S1302X | — |
| Obstetrics & Gynecology, Maternal & Fetal Medicine primary | 207VM0101X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.