NPIMap

Organization Active NPI

Montana Vamc

  • VA Clinic/Center
  • Missoula, MT
National Provider Identifier
1245277391
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
MONTANA VAMC
Practice address
3885 West Broadway Street
Missoula, MT 59808-9998
Phone
(913) 578-4409
NPI assigned
May 31, 2006
Last updated
Jan 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Authorized official

Name
Erin Potter
Title
Npi Team Member
Phone
(202) 382-2579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X NU Primary

Addresses

Primary practice location

3885 West Broadway Street
Missoula, MT 59808-9998

Mailing address

PO Box 94451
Cleveland, OH 44101-4451
Phone (913) 578-4409

Other names 1

  • MISSOULA VA CLINIC Other name

National Provider Directory

National Provider Directory
Tax ID family
Montana Vamc26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Locations

2687 Palmer St
Ste C
Missoula, MT 59808
Phone (406) 327-0913

3885 W Broadway St
Missoula, MT 59808
Phone (406) 202-8035

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1245277391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94451",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014451",
            "telephone_number": "913-578-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3885 WEST BROADWAY STREET",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598089998",
            "telephone_number": "913-578-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTANA VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "NPI TEAM MEMBER",
        "authorized_official_telephone_number": "202-382-2579"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MISSOULA VA CLINIC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "MISSOULA VA CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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, 2022; 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.