Big Sky Life Support
Organization Active NPI Community/Behavioral Health Agency · Missoula, MT
NPI 1154079366 · NPPES record last updated Mar 16, 2022
Key facts
- NPI
- 1154079366
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- BIG SKY LIFE SUPPORT
- Practice address
- 8420 Pheasant Dr
Missoula, MT 59808-1012 - Phone
- (406) 880-0184
- Fax
- (406) 258-0512
- NPI assigned
- Mar 16, 2022
- Organization subpart
- No
Authorized official
- Name
- Christopher Paul Buckles, HCA
- Title
- Administrator
- Phone
- (406) 880-0184
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251S00000X | Medicaid | MT |
Other providers in Missoula, MT
- Erika Feyti Bidlake
- Jeanne Marie Biebinger
- Angie Biehl
- Big Sky ABA, LLC
- Big Sky Denture Group
- Big Sky Life Support HCBS
- Big Sky Medical, Inc.
- Big Sky Physical Therapy, PLLC
- Big Sky Surgery Center, LLC
- James Groth Bigelow
All providers in Missoula, MT · Community/Behavioral Health Agency in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2022. 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.