Missoula Indian Center, Inc.

LBN: Missoula Urban Indian Health Center, Inc.
Missoula Indian Center, Inc. is an health care organization with primary practice located at 830 W Central Ave , Missoula MT 59801-7931. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Missoula Urban Indian Health Center, Inc. can be contacted via phone (406) 829-9515, or through Bruised Head, Leeann via phone (406) 829-9515.

Contact Information

Primary practice address
830 W Central Ave Missoula MT 59801-7931
Phone: (406) 829-9515
Fax: (406) 829-9519
Website:
Map and Directions
Authorized official contact:
Name: Bruised Head, Leeann MPH
Phone: (406) 829-9515

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 224-15 Montana

Profile Details

NPI number 1285769786
LBN Legal business name Missoula Urban Indian Health Center, Inc.
DBA Doing business as Missoula Indian Center, Inc.
Authorized official Bruised Head, Leeann MPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2007
Last updated Nov 18th, 2015 - about 10 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 1285769786 NPPES
Montana MEDICAID 0320025

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