Rejuvecare Clinic Inc

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

REJUVECARE CLINIC INC

Practice address

1300 S Reserve St Ste H
Missoula, MT 59801-4704

Phone

(406) 203-5174

Fax

(406) 926-1044

NPI assigned

Sep 21, 2017

Last updated

Sep 20, 2024By 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

Brooke Ridley

Title

Coo

Phone

(406) 203-5174

Specialties & licenses 1

Addresses

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.

• John Champ Neely II, M.D.

  • Emergency Medicine Physician
  • Many, LA
  • NPI 1528292471
  NPD

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1437668530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S RESERVE ST STE H",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598014704",
            "telephone_number": "406-203-5174",
            "fax_number": "406-926-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S RESERVE ST STE H",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598014704",
            "telephone_number": "406-203-5174",
            "fax_number": "406-926-1044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67 3rd Avenue West N",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599014049",
            "country_code": "US",
            "telephone_number": "406-203-5174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REJUVECARE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-21",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "RIDLEY",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "406-203-5174"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regional Access Mobility Program of Montana Inc. (RAMP of MT)
• Julienne Reid Stickney, LCPC
• Kathy Reid, P.T.
• Shannon Reilley, LCPC
• Zachary William Russell Reimer, SWLC
• Monica Louise Rekiel, MA, LCPC
• Sarianna Rae Rembe
• John C Remien II, DDS,MS,FACD
• John M Remien, DDS, MS
• Aubrey M Remmers, M.D.

• Plastic Surgery Physician in Missoula, MT
• Providers in Missoula, MT by specialty
• Plastic Surgery Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.