TAMARACK MEDICAL CLINIC – NPI #1710165105
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

TAMARACK MEDICAL CLINIC is a provider located in SUPERIOR, MT. NPPES has assigned the NPI number 1710165105 to TAMARACK MEDICAL CLINIC on February 07, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “TAMARACK MEDICAL CLINIC” is a dba name, the actual legal business name for this organization is MISSOULA COMMUNITY HEALTH SERVICES, INC. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 7 years ago on Apr 05, 2019. 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 TAMARACK MEDICAL CLINIC below.

NPI Profile for
MISSOULA COMMUNITY HEALTH SERVICES, INC

NPI Number
1710165105
Enumeration Date

(more than 18 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 COMMUNITY HEALTH SERVICES, INC
Doing Business As (dba): TAMARACK MEDICAL CLINIC
Primary location
1208 6TH AVE
SUPERIOR, MT 59872-9618
Phone: (406) 822-4278 Fax: (406) 822-4912
Mailing address
PO BOX 66
SUPERIOR, MT 59872-0066
Phone: (406) 822-4278 Fax: (406) 822-4912
Organization Subpart
No
Authorized Official
JOHN MCNEECE
CEO
Phone: (406) 822-4841
Updated
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
208D00000X
- General Practice (Primary)

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.