# MISSOULA COMMUNITY HEALTH SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MISSOULA COMMUNITY HEALTH SERVICES, INC.
- **Other names:** Tamarack Medical Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1376637470
- **Legal business name:** MISSOULA COMMUNITY HEALTH SERVICES, INC.
- **Authorized official:** MR. JOHN S MCNEECE (CEO)
- **Authorized official phone:** (406) 822-4841

## Contact information

- **Practice address:** 1208 6TH AVE E, SUPERIOR, MT 59872
- **Practice address phone:** (406) 822-4841
- **Practice address fax:** (406) 822-4963
- **Mailing address:** PO BOX 66, SUPERIOR, MT 59872
- **Mailing address phone:** (406) 822-4841
- **Mailing address fax:** (406) 822-4963

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | MT | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | 11203 | MT | — |
| 261QR1300X | Rural Health Clinic/Center | — | MT | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 04/05/2019