MISSION VALLEY HEALTH CLINIC, INCORPORATED (NPI# 1982659652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982659652 |
| Entity Type | Organization |
| Organization Name | MISSION VALLEY HEALTH CLINIC, INCORPORATED |
| Practice Address |
35773 Airport Rd St Ignatius MT 59865-9001 |
| Practice Telephone | 4067458765 |
| Mailing Telephone | 4067458765 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2009-03-11 |
| Authorized Official Name | SABRINA JANE CASTOR (OFFICE MANAGER) |
| Authorized Official Telephone | 4067458765 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
145 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
35773 AIRPORT RD |
| City | ST IGNATIUS |
| State | MT |
| Zip Code | 59865-9001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629389705 | St Patrick Hosp & Health Sci Ctr | Family Medicine | 35773 Airport Rd, St Ignatius, MT 59865-9001 | 2010-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366007544 | Donald Paul Roberts | Counselor | 109 First Avenue, St. Ignatius, MT 59865 | 2019-05-03 |
| 1518521657 | Maria Grieco | Social Worker | 76 3rd Ave, St. Ignatius, MT 59865 | 2019-04-24 |
| 1801363239 | Julie A. Cross | Dental Hygienist | 1 Woodscocks Way, St. Ignatius, MT 59865 | 2018-10-24 |
| 1346727468 | Shawn Michael Griffith | Dentist | 1 Woodcocks Way, St. Ignatius, MT 59865 | 2018-07-21 |
| 1063868743 | Natasha R. Sinclair | Registered Nurse | 308 Mission Dr., St. Ignatius, MT 59865 | 2016-05-11 |
| 1487067880 | Brenda Ferril | Chiropractor | 200 Mountain View St, St Ignatius, MT 59865 | 2014-06-04 |
| 1114248648 | Suzanne T Cannady | Pharmacist | #5 4th Ave E, Polson, MT 59865 | 2010-06-18 |
| 1083947055 | Sunburst Community Service Foundation, Inc | Clinic/Center | 109 1st Avenue, St Ignatius, MT 59865 | 2009-09-09 |
| 1396974572 | Jennifer Van Wagoner | Dentist | 35401 Mission Dr, St. Ignatius, MT 59865 | 2009-07-08 |
| 1124211297 | Gordon F Duff Gerrish | Psychologist | 56850 Fish Hatchery Road, St Ignatius, MT 59865 | 2007-08-22 |
| Find all providers in zip 59865 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982658688 | Randy Joseph Trudeau | Physician Assistant | 150 Airport Rd, St Ignatius, MT 59865-9677 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891204988 | David Michael Neill | Physician Assistant | 310 South Sansome St., Philipsburg, MT 59858 | 2017-09-21 |
| 1528362159 | Carlye Bolstad | Physician Assistant | 3703 Harrison Ave Ste B, Butte, MT 59701-6897 | 2010-12-21 |
| 1578700902 | Karen Sue Barton | Physician Assistant | 3015 18th Ave S, Great Falls, MT 59405-5155 | 2009-01-07 |
| 1962676270 | Joan L Turek | Physician Assistant | 35499 County Rd 134, Fairview, MT 59221 | 2008-04-17 |
| 1225162589 | Manhattan Medical Services | Physician Assistant | 207 S 6th St, Manhattan, MT 59741 | 2007-03-16 |
| 1114015617 | Keri F Allmacher | Physician Assistant | 1821 South Ave W, Ste 402, Missoula, MT 59801-6517 | 2006-10-10 |
| 1649365271 | Blythe Lindsay | Physician Assistant | 1648 Ellis Street, Suite 301, Bozeman, MT 59715-8811 | 2006-10-03 |
| 1336251610 | Douglas K Casperson | Physician Assistant | 223 W Main, Ste A, Fairfield, MT 59436-6503 | 2006-08-31 |
| 1164533618 | David E. Mangold | Physician Assistant | 20 Four Mile Dr Ste 2, Kalispell, MT 59901-2644 | 2006-08-31 |
| 1205858867 | Brooke Kendra Schmidt | Physician Assistant | 1600 Whitefish Stage Ste 1, Kalispell, MT 59901-2172 | 2006-07-24 |
| Find all providers with the same taxonomy | ||||
| City | ST IGNATIUS |
| Zip Code | 59865 |
Please comment or provide details below to improve the information on MISSION VALLEY HEALTH CLINIC, INCORPORATED.
| 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.