Organization
COUNTY OF MISSOULA
Active
Other names
County of Missoula
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNA MILLER (HEALTH OFFICER)
(406) 258-4996
Entity
Organization
Contact information
Practice address
301 W ALDER ST, MISSOULA, MT 59802-4123
(406) 258-4745
(406) 258-4913
Mailing address
301 W ALDER ST, MISSOULA, MT 59802-4123
(406) 258-4750
(406) 258-4913
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000280534
—
MT
05
—
0000290030
—
MT
05
—
0000290485
—
MT
05
—
0000601579
—
MT
05
—
0003500978
—
MT
01
—
03124 8
BCBS OF MT
MT
Enumeration date
12/27/2006
Last updated
10/01/2024
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