MISSOULA URBAN INDIAN HEALTH CENTER, INC. (NPI# 1285769786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285769786 |
Entity Type | Organization |
Organization Name | MISSOULA URBAN INDIAN HEALTH CENTER, INC. |
Other Organization Name | MISSOULA INDIAN CENTER, INC. |
Practice Address |
830 W Central Ave Missoula MT 59801-7931 |
Practice Telephone | 4068299515 |
Practice Fax Number | 4068299519 |
Mailing Telephone | 4068299515 |
Mailing Fax Number | 4068299519 |
Enumeration Date | 2007-02-23 |
Last Update Date | 2015-11-18 |
Authorized Official Name | MS. LEEANN BRUISED HEAD (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 4068299515 |
Authorized Official Credential | MPH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
224-15 | MT | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | 0320025 | 05 |
Other Name | Type Code |
---|---|
Missoula Indian Center, Inc. | Former Legal Business Name - Organization |
Street Address |
830 W CENTRAL AVE |
City | MISSOULA |
State | MT |
Zip Code | 59801-7931 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952920548 | Morgan Miller | Counselor | 830 W Central Ave, Missoula, MT 59801-7931 | 2020-04-13 |
1245876689 | Ivan Macdonald | Counselor | 830 W Central Ave, Missoula, MT 59801-7931 | 2019-11-20 |
1043863319 | Erica Bitencourt Rubino | Dietitian, Registered | 830 W Central Ave, Missoula, MT 59801-7931 | 2019-07-16 |
1346746880 | Lida A Running Crane | Counselor | 830 W Central Ave, Missoula, MT 59801-7931 | 2018-04-03 |
1649663923 | All Nations Health Center, Inc. | Clinic/Center | 830 W Central Ave, Missoula, MT 59801-7931 | 2015-03-11 |
1063802056 | Lily Gervais | Counselor | 830 W Central Ave, Missoula, MT 59801-7931 | 2015-01-28 |
1063813152 | Kathleen Little Leaf I | Counselor | 830 W Central Ave, Missoula, MT 59801-7931 | 2014-09-09 |
1689921512 | Teresa Renee' Pirro Vial | Nurse Practitioner | 830 W Central Ave, Missoula, MT 59801-7931 | 2012-08-09 |
1366711418 | Kasey Joseph Nicholson | Counselor | 830 W Central Ave, Missoula, MT 59801-7931 | 2011-12-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629681010 | Time To Thrive Pllc | Social Worker | 1836 South Ave. West, Missoula, MT 59801 | 2020-08-26 |
1740815653 | Yuzo Fujiki | Specialist/Technologist | 210 N California St 104, Missoula, MT 59801 | 2020-03-11 |
1407346596 | Stepping Stones Counseling, Pllc | Counselor | 202 Brooks St Ste 300, Missoula, MT 59801 | 2018-05-14 |
1437668530 | Rejuve Care Clinic, Inc | Plastic Surgery | 715 Kensingten, Ste 1, Missoula, Missoula, MT 59801 | 2017-09-21 |
1619499555 | Beatrice Elise Powers | Specialist/Technologist | 410 B Stephens Ave, Missoula, MT 59801 | 2017-07-12 |
1770012197 | Hannah Lepiane | Massage Therapist | 1313 S. 4th W., Missoula, MT 59801 | 2017-06-08 |
1811420227 | Celeste Willis | Social Worker | 1055 W. Sussex, Missoula, MT 59801 | 2017-04-04 |
1073050498 | Rina Kasuga | Specialist/Technologist | 913 Rimini Ct, Missoula, MT 59801 | 2017-01-24 |
1043756919 | Heather Bartz | Specialist/Technologist | 831 Hastings Ave, Missoula, MT 59801 | 2017-01-16 |
1255874517 | Sarabeth Haddad | Social Worker | 1055 W Sussex Ave, Missoula, MT 59801 | 2016-11-18 |
Find all providers in zip 59801 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
1245877372 | Starr Counseling and Addiction Services | Clinic/Center | 1515 Fairview Ave Ste 247, Missoula, MT 59801-7821 | 2019-12-09 |
1164568994 | Hkj Inc | Clinic/Center | 2801 S Russell St, Ste. 38, Missoula, MT 59801-7932 | 2007-01-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902390651 | New Directions Counseling | Clinic/Center | 2116 Broadwater Ave Ste 205, Billings, MT 59102-4764 | 2018-06-17 |
1396235818 | Better Times Recovery Services LLC | Clinic/Center | 1925 Grand Ave Ste 103, Billings, MT 59102 | 2018-05-10 |
1942714902 | Patricia Flynn, Lac | Clinic/Center | 1629 Avenue D Ste B4, Billings, MT 59102-3071 | 2017-11-28 |
1720513674 | Crow Nation Recovery Center | Clinic/Center | 101 Baacheeitche, Crow Agency, MT 59022 | 2017-04-28 |
1386948453 | Misfits, LLC | Clinic/Center | 1111 14th St S Ste C, Great Falls, MT 59405-4656 | 2011-01-04 |
1487818928 | New Frontier Addiction Services, Inc. | Clinic/Center | 118 E 7th St Ste 2e, Anaconda, MT 59711-2953 | 2008-07-14 |
1053521633 | Alcohol & Drug Services of Gallatin County | Clinic/Center | 2310 N 7th Ave, Bozeman, MT 59715-2550 | 2007-05-23 |
1629114624 | Chouteau County | Clinic/Center | 1308 Franklin Street, Fort Benton, MT 59442-0459 | 2007-01-29 |
1225106842 | Flathead Valley Chemical Dependency Clinic Inc | Clinic/Center | 1312 N Meridian Rd, Kalispell, MT 59904-0115 | 2006-12-01 |
1427003862 | Aware Inc | Clinic/Center | 205 E Park Ave, Anaconda, MT 59711-2340 | 2006-05-24 |
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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.