Blue Mountain Clinic, Inc.

LBN: Blue Mountain Clinic, Inc.
Blue Mountain Clinic, Inc. is an health care organization with primary practice located at 610 N California St , Missoula MT 59802-3950. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Blue Mountain Clinic, Inc. can be contacted via phone (406) 721-1946, or through Hansen, Annie via phone (406) 721-1646.

Contact Information

Primary practice address
610 N California St Missoula MT 59802-3950
Phone: (406) 721-1946
Fax: (406) 543-9890
Website:
Map and Directions
Authorized official contact:
Name: Hansen, Annie
Phone: (406) 721-1646

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9607 Montana

Profile Details

NPI number 1407987548
LBN Legal business name Blue Mountain Clinic, Inc.
DBA Doing business as
Authorized official Hansen, Annie
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2007
Last updated May 24th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407987548 NPPES
Montana MEDICAID 0218478

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