Mission Mountain Medical Inc

LBN: Mission Mountain Medical Inc
Mission Mountain Medical Inc is an health care organization with primary practice located at 38889 Dubay Road , Polson MT 59860. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Mission Mountain Medical Inc can be contacted via phone (406) 883-2722, or through Koberg, William via phone (406) 883-2722.

Contact Information

Primary practice address
38889 Dubay Road Polson MT 59860
Phone: (406) 883-2722
Fax: (406) 883-0964
Website:
Map and Directions
Authorized official contact:
Name: Koberg, William
Phone: (406) 883-2722

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1831247782
LBN Legal business name Mission Mountain Medical Inc
DBA Doing business as
Authorized official Koberg, William
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Sep 17th, 2007 - about 17 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 1831247782 NPPES
Montana MEDICAID 0000810475

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