Organization
MOUNTAINSIDE MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARSON C GOMEZ APRN (OWNER)
(406) 303-9781
Entity
Organization
Contact information
Practice address
704 MAIN ST, STEVENSVILLE, MT 59870-2828
(406) 303-9781
(880) 440-2614
Mailing address
704 MAIN ST, STEVENSVILLE, MT 59870-2828
(406) 303-9781
(880) 440-2614
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
12/10/2025
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