Mothers' Milk Bank of Montana

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

Legal business name

MOTHERS' MILK BANK OF MONTANA

Practice address

2825 Stockyard Rd Ste C1
Missoula, MT 59808-1502

Phone

(406) 531-6789

Fax

(888) 287-1423

NPI assigned

Dec 8, 2017

Last updated

Dec 15, 2017By 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

Jessica Welborn, PHD

Title

Executive Director

Phone

(406) 531-6789

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513296000000",
    "number": "1407361736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 STOCKYARD RD STE C1",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081502",
            "telephone_number": "406-531-6789",
            "fax_number": "888-287-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 STOCKYARD RD STE C1",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081502",
            "telephone_number": "406-531-6789",
            "fax_number": "888-287-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHERS' MILK BANK OF MONTANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-08",
        "last_updated": "2017-12-15",
        "status": "A",
        "authorized_official_last_name": "WELBORN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "406-531-6789",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Rose Gunderson Morton, PT, DPT
• Warren Morton, OD
• Josh Bernard Moser, PAC
• Bonita Moses
• Jody L Mosher, MA LCPC
• Angelica Marie Mothka, LCSW
• Motion Medical Solutions, Inc
• Moua Ko Moua, LAC, SWLC
• Mountain Compounding
• Mountain Home Montana Inc

• Parenteral & Enteral Nutrition Supplies (DME) in Missoula, MT
• Providers in Missoula, MT by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; 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.