NPIMap

Organization Active NPI

Western Montana Mental Health Center

  • Primary Care Clinic/Center
  • Missoula, MT
National Provider Identifier
1124713227
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
WESTERN MONTANA MENTAL HEALTH CENTER
Practice address
1325 Wyoming St
Missoula, MT 59801-1725
Phone
(406) 532-9700
NPI assigned
Apr 6, 2023
Last updated
Apr 6, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
WESTERN MONTANA MENTAL HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Levi Anderson, FACHE
Title
Ceo
Phone
(406) 532-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

1325 Wyoming St
Missoula, MT 59801-1725

Mailing address

1321 Wyoming St
Missoula, MT 59801-1725
Phone (406) 532-8400

National Provider Directory

National Provider Directory
Tax ID family
Western Montana Reg Com10 organizations share this tax ID, including this one
Part of
Western Montana Reg Com

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1325 Wyoming St
Missoula, MT 59801
Phone (406) 532-9700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1124713227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 WYOMING ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598011725",
            "telephone_number": "406-532-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 WYOMING ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598011725",
            "telephone_number": "406-532-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MONTANA MENTAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN MONTANA MENTAL HEALTH CENTER",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "LEVI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-532-8400",
        "authorized_official_credential": "FACHE"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.