PRUYN VETERINARY HOSPITAL, LLC (NPI# 1558708263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558708263 |
| Entity Type | Organization |
| Organization Name | PRUYN VETERINARY HOSPITAL, LLC |
| Practice Address |
2501 S Russell St Missoula MT 59801-7917 |
| Practice Telephone | 4068298150 |
| Practice Fax Number | 4067287966 |
| Mailing Telephone | 4068298150 |
| Mailing Fax Number | 4067287966 |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-06-04 |
| Authorized Official Name | DR. MINOTT PRUYN (OWNER) |
| Authorized Official Telephone | 4068298150 |
| Authorized Official Credential | DVM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174M00000X | Veterinarian | 787 | MT | Other Service Providers |
| Street Address |
2501 S RUSSELL ST |
| City | MISSOULA |
| State | MT |
| Zip Code | 59801-7917 |
| 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 | 174M00000X |
| Grouping | Other Service Providers |
| Classification | Veterinarian |
| A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |
| Notes: Source: Dorland’s Illustrated Medical Dictionary. 28th edition. Philadelphia: W.B. Saunders Company, 1994, p. 1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922378454 | Mark Thomas Klietz | Veterinarian | 1001 E Broadway St, Ste. #7, Missoula, MT 59802-4970 | 2011-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104291475 | Alfred Flint | Veterinarian | 3934 Frontage Rd, Three Forks, MT 59752-8501 | 2015-12-11 |
| 1306269766 | Kelli Jo Johnson | Veterinarian | 215 Bolinger Rd, Belgrade, MT 59714-8239 | 2014-01-21 |
| 1851712020 | Katherine Kilzer | Veterinarian | 1645 Central Ave, Billings, MT 59102-5138 | 2013-12-13 |
| 1790112340 | Trevor William Mccormick | Veterinarian | 5288 Us Highway 89 S, Livingston, MT 59047-9133 | 2013-09-27 |
| 1720331424 | Dain Lochridge | Veterinarian | 4713 Itana Cir, Bozeman, MT 59715-9330 | 2012-10-18 |
| 1063692663 | Lucas Thomi | Veterinarian | 4880 N Montana Ave, Helena, MT 59602-7227 | 2007-11-12 |
| 1740603158 | Sheila Ann Smart | Veterinarian | 215 Bolinger Rd, Belgrade, MT 59714-8239 | 2014-01-22 |
| 1043633316 | Kelsey Baver | Veterinarian | 215 Bolinger Rd, Belgrade, MT 59714-8239 | 2014-01-22 |
| 1487077848 | Nicholas Joseph Johnson | Veterinarian | 215 Bolinger Rd, Belgrade, MT 59714-8239 | 2014-01-21 |
| 1013330463 | Jessica Quinton Kirkpatrick | Veterinarian | 215 Bolinger Rd, Belgrade, MT 59714-8239 | 2014-01-21 |
| Find all providers with the same taxonomy | ||||
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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.