| Pmt Mt Urgent Mental Health | |
|
900 N Orange St Ste 102 Missoula MT 59802-2951 | |
| (406) 327-3029 | |
| Not Available |
| Full Name | Pmt Mt Urgent Mental Health |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 900 N Orange St, Missoula, Montana |
| Authorized Official Name and Position | Donald W Anderson (DIR REIMB REG STRAT/ASST SEC ENROLL) |
| Authorized Official Contact | 4255255392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pmt Mt Urgent Mental Health Po Box 12 Liberty Lake WA 99019-0012 Ph: (406) 327-3029 | Pmt Mt Urgent Mental Health 900 N Orange St Ste 102 Missoula MT 59802-2951 Ph: (406) 327-3029 |
| NPI Number | 1558530683 |
|---|---|
| Provider Enumeration Date | 02/22/2008 |
| Last Update Date | 07/09/2021 |
| Certification Date | 07/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558530683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 17652 (Montana) | Primary |
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