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Organization

PARTNERSHIP HEALTH CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LARA SALAZAR (CHIEF EXECUTIVE OFFICER)
(406) 258-3360
Entity
Organization

Contact information

Practice address
323 W ALDER ST, MISSOULA, MT 59802-4123
(406) 258-4191
(406) 258-4180
Mailing address
323 W ALDER ST, MISSOULA, MT 59802-4123
(406) 258-4496
(406) 258-4578

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
163W00000X
Registered Nurse
183500000X
Pharmacist
207Q00000X
Family Medicine Physician
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
333600000X
Pharmacy
3336C0002X
Clinic Pharmacy
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1437196243
MT
Enumeration date
06/01/2006
Last updated
02/21/2025
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