Pmg Mt Grant Creek Family Med

LBN: Providence Health & Services Mt
Pmg Mt Grant Creek Family Med is an health care organization with primary practice located at 3075 N Reserve St Suite Q, Missoula MT 59808-1390. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Providence Health & Services Mt can be contacted via phone (406) 327-1850, or through Anderson, Donald W via phone (425) 525-5392.

Contact Information

Primary practice address
3075 N Reserve St Suite Q Missoula MT 59808-1390
Phone: (406) 327-1850
Fax: (406) 327-1875
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald W
Phone: (425) 525-5392

Health care specialties

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

Profile Details

NPI number 1790931517
LBN Legal business name Providence Health & Services Mt
DBA Doing business as Pmg Mt Grant Creek Family Med
Authorized official Anderson, Donald W
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 12th, 2008
Last updated May 13th, 2024 - about 7 months 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 1790931517 NPPES
Montana Other 8445 MEDICAL LICENSE NUMBER

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