Practice Health PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

958CHI Issued in MT

Legal business name

PRACTICE HEALTH PC

Doing business as

Practice Health

Practice address

825 W Spruce St
Suite B
Missoula, MT 59802-3947

Phone

(406) 926-3000

Fax

(406) 926-3003

NPI assigned

Jun 23, 2016

Last updated

Jun 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Corey Gray, D.C.NPI 1598814220

Title

Owner

Phone

(406) 926-3000

Specialties & licenses 1

Addresses

Other names 1

• Practice Health Doing business as

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

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.

• Corey Welch Gray, D.C.

  • Chiropractor
  • Missoula, MT
  • NPI 1598814220
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1346691144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 W SPRUCE ST",
            "address_2": "SUITE B",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598023947",
            "telephone_number": "406-926-3000",
            "fax_number": "406-926-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W SPRUCE ST",
            "address_2": "SUITE B",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598023947",
            "telephone_number": "406-926-3000",
            "fax_number": "406-926-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICE HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-926-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MT",
            "license": "958CHI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Practice Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen George Powell, M.D.
• Amanda Michele Powers, LCSW
• Madison Powers
• Shawnajo Marie Powers, AU.D.
• Damien Colvin Powledge, PA-C
• Prana Family Practice
• Sunil Kumar Prashar, MD
• Marcia B Prather, MD
• James Pratt, PA-C
• Jessica Danielle Pratt, LMT

• Primary Care Clinic/Center in Missoula, MT
• Providers in Missoula, MT by specialty
• Primary Care Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.