Christopher Paul Buckles, HCA
Individual provider Active NPI Contractor · Missoula, MT
NPI 1003226739 · NPPES record last updated Jan 25, 2024
Key facts
- NPI
- 1003226739
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 8420 Pheasant Dr
Missoula, MT 59808-1012 - Phone
- (406) 880-0184
- NPI assigned
- May 2, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Sky Life Support HCBS | Contractor | Current |
Accepting new patients |
| Big Sky Life Support | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Community Health Worker | 172V00000X | |||
| Home Health Aide | 374U00000X | MT | ||
| Contractor |
171W00000X | Yes |
Addresses
Primary practice location
8420 Pheasant Dr
Missoula, MT 59808-1012
Mailing address
8420 Pheasant Dr
Missoula, MT 59808-1012
Phone (406) 880-0184
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.