NPIMap

Organization Active NPI

The University of Montana

Doing business as DeWit RiteCare Speech, Language, and Hearing Clinic

  • Speech-Language Pathologist
  • Missoula, MT
National Provider Identifier
1548537434
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1314 Issued in MT
Legal business name
THE UNIVERSITY OF MONTANA
Doing business as
DeWit RiteCare Speech, Language, and Hearing Clinic
Practice address
Curry Health Center Lower Level
634 Eddy Avenue
Missoula, MT 59812-0001
Phone
(406) 243-2405
Fax
(406) 243-6678
NPI assigned
Nov 21, 2011
Last updated
Jan 23, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
THE UNIVERSITY OF MONTANAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Authorized official

Name
Dara Tome
Title
Billing Manager
Phone
(406) 243-5189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1314 MT Primary

Addresses

Primary practice location

Curry Health Center Lower Level
634 Eddy Avenue
Missoula, MT 59812-0001

Mailing address

Communicative Sciences and Disorders 32 Campus Drive
Missoula, MT 59812-6695
Phone (406) 243-2405

Other names 1

  • DeWit RiteCare Speech, Language, and Hearing Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031105000735 MT Part B Supplier - Clinic/Group Practice 7719899889 Receives reassigned benefits from 16 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Missoula, MT

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
The University of Montana10 organizations share this tax ID, including this one
Part of
The University of Montana

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

634 Eddy Ave
Lowr
Missoula, MT 59812
Phone (406) 243-2405

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1548537434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COMMUNICATIVE SCIENCES AND DISORDERS 32 CAMPUS DRIVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598126695",
            "telephone_number": "406-243-2405",
            "fax_number": "406-243-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CURRY HEALTH CENTER LOWER LEVEL",
            "address_2": "634 EDDY AVENUE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598120001",
            "telephone_number": "406-243-2405",
            "fax_number": "406-243-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE UNIVERSITY OF MONTANA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE UNIVERSITY OF MONTANA",
        "enumeration_date": "2011-11-21",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "TOME",
        "authorized_official_first_name": "DARA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "406-243-5189"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MT",
            "license": "1314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeWit RiteCare Speech, Language, and Hearing Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.