# BEARGRASS FAMILY MEDICINE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811514110
- **Authorized official:** TIMOTHY CARAMORE MD (PRESIDENT / PHYSICIAN)
- **Authorized official phone:** (406) 510-1800

## Contact information

- **Practice address:** 445 W ALDER ST, MISSOULA, MT 59802-4121
- **Practice address phone:** (406) 510-1800
- **Practice address fax:** (406) 926-1114
- **Mailing address:** 445 W ALDER ST, MISSOULA, MT 59802-4121
- **Mailing address phone:** (406) 510-1800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/02/2020
- **Last updated:** 03/11/2021