MISSOULA OSTEOPATHIC CLINIC, LLC – NPI #1326487430
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

MISSOULA OSTEOPATHIC CLINIC, LLC is a provider located in MISSOULA, MT. NPPES has assigned the NPI number 1326487430 to MISSOULA OSTEOPATHIC CLINIC, LLC on June 21, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 4 years ago on Nov 10, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MISSOULA OSTEOPATHIC CLINIC, LLC below.

NPI Profile for
MISSOULA OSTEOPATHIC CLINIC, LLC

NPI Number
1326487430
Enumeration Date

(about 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MISSOULA OSTEOPATHIC CLINIC, LLC
Primary location
341 W PINE ST
MISSOULA, MT 59802-4119
Phone: (406) 327-0269 Fax: (406) 327-0264
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SAM WALLACE
OWNER/PHYSICIAN
Phone: (406) 327-0269
Updated
Certification Date
Oct 26, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
MT MED-PHYS-LIC-8667

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.