JIIVANA INTEGRATIVE HEALTH PLLC (NPI# 1497059638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497059638 |
| Entity Type | Organization |
| Organization Name | JIIVANA INTEGRATIVE HEALTH PLLC |
| Practice Address |
825 W. Kent St. Missoula MT 59801-6619 |
| Practice Telephone | 4065463043 |
| Mailing Telephone | 4065463043 |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-03 |
| Authorized Official Name | MS. LAURA MARX (FAMILY NURSE PRACTITIONER) |
| Authorized Official Telephone | 4065463043 |
| Authorized Official Credential | APN-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
APN22313 | MT | Ambulatory Health Care Facilities |
| Street Address |
825 W. KENT ST. |
| City | MISSOULA |
| State | MT |
| Zip Code | 59801-6619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083710313 | Mindy Opper | Physician Assistant | 825 W. Kent St., Missoula, MT 59801-6619 | 2006-09-15 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1346691144 | Practice Health PC | Clinic/Center | 825 W Spruce St, Suite B, Missoula, MT 59802-3947 | 2016-06-23 |
| 1871881904 | Partnership Health Center Inc | Clinic/Center | 1110 W Broadway St, Missoula, MT 59802-3918 | 2011-07-11 |
| 1710171657 | Costcare, Pllc | Clinic/Center | 1001 E Broadway Ste 10, Missoula, MT 59802 | 2007-09-04 |
| 1194285767 | Osteophysiology LLC | Clinic/Center | 3031 S Russell St, Missoula, MT 59801-8523 | 2019-03-21 |
| 1003370396 | Tms Missoula LLC | Clinic/Center | 2809 Great Northern Loop, Ste 410, Missoula, MT 59808-1749 | 2019-01-30 |
| 1740728583 | The Golgi Clinic, LLC | Clinic/Center | 113 W Front St, Suite 201, Missoula, MT 59802-4332 | 2017-02-01 |
| 1194093914 | Mark Coward Md PC | Clinic/Center | 3700 S Russell St, Suite 115, Missoula, MT 59801-8574 | 2011-12-07 |
| 1942586268 | Curry Health Center | Clinic/Center | 634 Eddy Ave, Missoula, MT 59812-1851 | 2011-11-01 |
| 1598069429 | Prana Family Practice | Clinic/Center | 825 W Kent Ave, Missoula, MT 59801-6619 | 2011-01-06 |
| Find all providers in MISSOULA | ||||
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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.