Clarus Ime of Montana LLC

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

Legal business name

CLARUS IME OF MONTANA LLC

Practice address

2415 Dearborn Ave
Missoula, MT 59801-7529

Phone

(406) 926-6950

Fax

(406) 926-6951

NPI assigned

Oct 16, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Jere Kolstad, OWNER

Title

Owner

Phone

(406) 926-6950

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1336781822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598060910",
            "telephone_number": "406-926-6950",
            "fax_number": "406-926-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 DEARBORN AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017529",
            "telephone_number": "406-926-6950",
            "fax_number": "406-926-6951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARUS IME OF MONTANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "KOLSTAD",
        "authorized_official_first_name": "JERE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-926-6950",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael L Clark, DC
• Rita Cunneen Clark, PHARMD RPH
• Shelley Clark, DPT
• Will Clark
• Aleksandra Clarke
• Melissa Anne Clater, LCSW
• Pamela Marie Clausen, LCPC
• Holly Patricia Claussen, DPT
• Dylan Claxton, MSW, LCSW
• Clear Light Psychotherapy, PLLC

• Preventive Medicine/Occupational Environmental Medicine Physician in Missoula, MT
• Providers in Missoula, MT by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.