Active NPI
St Corporation
- Health Service Clinic/Center
- Missoula, MT
National Provider Identifier
1386153740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 8664
- Legal business name
- ST CORPORATION
- Practice address
- 2827 Fort Missoula Rd
Missoula, MT 59804-7408 - Phone
- (406) 544-6438
- NPI assigned
- Sep 28, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephen A. Tahta, MD, MBA
- Title
- Physician
- Phone
- (406) 544-6438
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 8664 | MT | Primary |
Addresses
Primary practice location
2827 Fort Missoula Rd
Missoula, MT 59804-7408
Mailing address
244 Mansion Heights Dr
Missoula, MT 59803-2472
Phone (406) 544-6438
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1386153740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "244 MANSION HEIGHTS DR",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598032472",
"telephone_number": "406-544-6438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2827 FORT MISSOULA RD",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598047408",
"telephone_number": "406-544-6438"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-28",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "TAHTA",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "406-544-6438",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD, MBA"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "MT",
"license": "8664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
- Jocelyn Nichole Spoon, M.D.
- Kristin C Spoon, MD
- Dylan Ann Spradlin, BBH-SWLC-LIC-56957
- Alira N Spring, PA-C
- Lynn Aubrey Springer
- St Patrick Hospital & Health Sciences Center (Bariatric Services)
- St Patrick Hospital and Health Sciences Center
- Allexendra I St. Clair
- Emily St. John
- Nichole St. John, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.