Organization Active NPI

Mark Coward MD PC

  • Primary Care Clinic/Center
  • Missoula, MT
National Provider Identifier
1194093914
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
5149 Issued in MT
Legal business name
MARK COWARD MD PC
Practice address
3700 S Russell St
Suite 115
Missoula, MT 59801-8574
Phone
(406) 728-8530
Fax
(406) 728-1548
NPI assigned
Dec 7, 2011
Last updated
Jan 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

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

Authorized official

Name
Mark H Coward, M.D.
Title
Owner
Phone
(406) 728-8530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 5149 MT Primary

Addresses

Primary practice location

3700 S Russell St
Suite 115
Missoula, MT 59801-8574

Mailing address

3700 S Russell St
Suite 115
Missoula, MT 59801-8579
Phone (406) 728-8530

National Provider Directory

National Provider Directory

Locations

3700 S Russell St
Ste 115
Missoula, MT 59801
Phone (406) 203-5180

NPI Registry JSON

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1194093914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 S RUSSELL ST",
            "address_2": "SUITE 115",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018579",
            "telephone_number": "406-728-8530",
            "fax_number": "406-728-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 S RUSSELL ST",
            "address_2": "SUITE 115",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018574",
            "telephone_number": "406-728-8530",
            "fax_number": "406-728-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK COWARD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "COWARD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-728-8530",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MT",
            "license": "5149",
            "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 Jan 17, 2012; 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.