JSK NELSON MEDICAL PROFESSIONAL LLC (NPI# 1215409578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215409578 |
| Entity Type | Organization |
| Organization Name | JSK NELSON MEDICAL PROFESSIONAL LLC |
| Practice Address |
2875 Tina Ave Ste 15 Missoula MT 59808-1581 |
| Practice Telephone | 4065464255 |
| Practice Fax Number | 4068303254 |
| Mailing Telephone | 4065464255 |
| Mailing Fax Number | 4068303254 |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2018-12-28 |
| Authorized Official Name | MRS. CHRISTINE ELIZABETH CROYLE (OFFICE MANAGER) |
| Authorized Official Telephone | 4065464255 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| Street Address |
2875 TINA AVE STE 15 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59808-1581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447720875 | Megan Elizabeth Galliford | Behavioral Analyst | 1647 Shindig Dr, Apt 303, Missoula, MT 59808 | 2018-11-28 |
| 1518473560 | Willow Mahana Nelson Griffith | Registered Nurse | 2829 Great Northern Loop Ste 300, Missoula, MT 59808 | 2017-12-28 |
| 1043739428 | Carol Elizabeth Mckenzie | Student in an Organized Health Care Education/Training Program | 2705 Oshaughnessy St, Missoula, MT 59808 | 2017-09-16 |
| 1558884064 | Sharon Marie Herndon | Nurse Practitioner | 2230 N Reserve St Ste 402, Missoula, MT 59808 | 2017-07-18 |
| 1427594761 | Erin Boggs | Specialist/Technologist | 2921 Dublin St, Missoula, MT 59808 | 2017-01-10 |
| 1942603287 | Benjamin Cody Mcintosh | Chiropractor | 1070 N. Russell St., Missoula, MT 59808 | 2014-10-01 |
| 1518219617 | Pure Medical Inc | Ambulance | 5515 Bonanza Place, Missoula, MT 59808 | 2012-10-12 |
| 1932462231 | Kathleen F Calcagno | Specialist/Technologist | 2615 Connery Way, Suite 2b, Missoula, MT 59808 | 2012-06-21 |
| 1639454127 | Dentyn Dunaway | Pharmacist | 2527 N Reserve Street, Missoula, MT 59808 | 2011-10-15 |
| 1750557690 | Carl Thornblade, Md, Pllc | Allergy & Immunology | 2801 Great Northern Loop Ste 101, Missoula, MT 59808 | 2008-04-30 |
| Find all providers in zip 59808 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313108 | Hpm of Montana Pllc | Clinic/Center | 1223 Center Ave, Hardin, MT 59034 | 2020-10-12 |
| 1477017572 | Sns Corporation | Clinic/Center | 401 S Alabama St Ste 7, Butte, MT 59701-2358 | 2019-01-23 |
| 1467818054 | Her Alibi LLC | Clinic/Center | 620 N Last Chance Gulch, Helena, MT 59601-3347 | 2016-01-12 |
| 1942622873 | Johnny Cochrane Massage Therapy, LLC. | Clinic/Center | 43 Woodland Park Dr, Ste. 20, Kalispell, MT 59901-4600 | 2014-01-12 |
| 1063822591 | Matthew D Mclaren Md Pllc | Clinic/Center | 301 Saddle Dr, Suite F, Helena, MT 59601-8098 | 2014-05-06 |
| 1154351682 | St. Vincent Healthcare | Clinic/Center | 2900 12th Ave N, Suite 335w, Billings, MT 59101-7506 | 2006-07-03 |
Please comment or provide details below to improve the information on JSK NELSON MEDICAL PROFESSIONAL LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.