Makoshika Wellness Inc
Organization Active NPI Clinic/Center · Glendive, MT
NPI 1316629264 · NPPES record last updated Aug 1, 2023
Key facts
- NPI
- 1316629264
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- MAKOSHIKA WELLNESS INC
- Practice address
- 107 W Bell St
Glendive, MT 59330-1614 - Phone
- (406) 359-1395
- NPI assigned
- Aug 1, 2023
- Organization subpart
- No
Authorized official
- Name
- Mrs. Sara Plummer
- Title
- Executive Director
- Phone
- (208) 699-8989
National Provider Directory
Locations
107 W Bell St
Glendive, MT 59330
Phone (406) 359-1395
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
107 W Bell St
Glendive, MT 59330-1614
Mailing address
PO Box 311
Glendive, MT 59330-0311
Phone (406) 359-1395
Other names
- Makoshika Wellness
Other providers in Glendive, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2023. 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.