| Mountain Internal Medicine | |
|
323 E Front St Missoula MT 59802-4715 | |
| (406) 317-4800 | |
| Not Available |
| Full Name | Mountain Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 323 E Front St, Missoula, Montana |
| Authorized Official Name and Position | Sarah Faaborg (PARTNER) |
| Authorized Official Contact | 4065793160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Internal Medicine 323 E Front St Missoula MT 59802-4715 Ph: (406) 317-4800 | Mountain Internal Medicine 323 E Front St Missoula MT 59802-4715 Ph: (406) 317-4800 |
| NPI Number | 1689312449 |
|---|---|
| Provider Enumeration Date | 05/23/2022 |
| Last Update Date | 01/25/2023 |
| Medicare PECOS PAC ID | 7416325733 |
|---|---|
| Medicare Enrollment ID | O20221117001993 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689312449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sarah L Faaborg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386809101 PECOS PAC ID: 0345410338 Enrollment ID: I20110830000783 |
| Provider Name | Marnie Jean Deschamps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811497076 PECOS PAC ID: 5698036978 Enrollment ID: I20180301000755 |
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