| Sunburst Health Llc | |
|
2620 Connery Way Missoula MT 59808-1325 | |
| (406) 203-9948 | |
| (406) 203-9949 |
| Full Name | Sunburst Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2620 Connery Way, Missoula, Montana |
| Authorized Official Name and Position | Jordan Stow (CREDENTIALING MANAGER) |
| Authorized Official Contact | 4062910321 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunburst Health Llc 2282 Us Highway 93 S Kalispell MT 59901-8499 Ph: (406) 890-2570 | Sunburst Health Llc 2620 Connery Way Missoula MT 59808-1325 Ph: (406) 203-9948 |
| NPI Number | 1093297764 |
|---|---|
| Provider Enumeration Date | 08/30/2018 |
| Last Update Date | 11/19/2025 |
| Certification Date | 11/19/2025 |
| Medicare PECOS PAC ID | 9335491612 |
|---|---|
| Medicare Enrollment ID | O20181015003220 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093297764 | NPI | - | NPPES |
| Provider Name | Julie A Fleck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972790830 PECOS PAC ID: 2567590540 Enrollment ID: I20100513000219 |
| Provider Name | Sonya H Milheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225154453 PECOS PAC ID: 1254518665 Enrollment ID: I20110613000563 |
| Provider Name | Maria Mcneil Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134501117 PECOS PAC ID: 0749596716 Enrollment ID: I20150904002509 |
| Provider Name | Maureen Spain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194770024 PECOS PAC ID: 9739287525 Enrollment ID: I20211213002068 |
| Provider Name | Taylor Lynn Stille |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336661677 PECOS PAC ID: 2961773353 Enrollment ID: I20211228001976 |
| Provider Name | Marcus Alexandar Xaviar Ordane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356092233 PECOS PAC ID: 6002284957 Enrollment ID: I20221124000092 |
| Provider Name | Abbi A Fetters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174263008 PECOS PAC ID: 9739558248 Enrollment ID: I20221205002914 |
| Provider Name | Aubrey Reed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306468137 PECOS PAC ID: 8426415936 Enrollment ID: I20230526001416 |
| Provider Name | Kaitlyn Underwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528725512 PECOS PAC ID: 4082156393 Enrollment ID: I20240601000556 |
| Provider Name | Debbie Cox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750164604 PECOS PAC ID: 5698217958 Enrollment ID: I20240709004187 |
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