Organization Active NPI

Three Rivers Oncology

  • Specialist
  • Missoula, MT
National Provider Identifier
1275559676
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
10706 Issued in MT
Legal business name
THREE RIVERS ONCOLOGY
Practice address
1724 Fairview Ave
Suite a
Missoula, MT 59801-7872
Phone
(406) 327-0120
Fax
(406) 327-0117
NPI assigned
Jul 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Roy R Hall, M.D.NPI 1417953019
Title
Owner
Phone
(406) 327-0120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 10706 MT Primary

Addresses

Primary practice location

1724 Fairview Ave
Suite a
Missoula, MT 59801-7872

Mailing address

1724 Fairview Ave
Suite a
Missoula, MT 59801-7872
Phone (406) 327-0120

Other identifiers 2

IdentifierTypeStateIssuer
5675300001OtherMTDMER NUMBER
0150841MedicaidMT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275559676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 FAIRVIEW AVE",
            "address_2": "SUITE A",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017872",
            "telephone_number": "406-327-0120",
            "fax_number": "406-327-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 FAIRVIEW AVE",
            "address_2": "SUITE A",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017872",
            "telephone_number": "406-327-0120",
            "fax_number": "406-327-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS ONCOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-327-0120",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MT",
            "license": "10706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMER NUMBER",
            "identifier": "5675300001",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150841",
            "state": "MT"
        }
    ],
    "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 Aug 22, 2020; 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.