Organization
PANGEA HEALTH SERVICES LLC
Active
Other names
Pangea Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY GUMMER (OWNER)
(406) 871-5814
Entity
Organization
Contact information
Practice address
4254 BORDEAUX BLVD, MISSOULA, MT 59808-9686
(406) 871-5814
(406) 214-6334
Mailing address
4254 BORDEAUX BLVD, MISSOULA, MT 59808-9686
(406) 871-5814
(406) 214-6334
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0553189
—
MT
Enumeration date
03/04/2019
Last updated
03/04/2019
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