Active NPI
Prana Family Practice
- Primary Care Clinic/Center
- Missoula, MT
National Provider Identifier
1598069429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 37
- Legal business name
- PRANA FAMILY PRACTICE
- Practice address
- 825 W Kent Ave
Missoula, MT 59801-6619 - Phone
- (406) 240-0604
- Fax
- (406) 721-0055
- NPI assigned
- Jan 6, 2011
- 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
- Ms. Mindy Opper, PA-C
- Title
- Physician Assistant
- Phone
- (406) 240-0604
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 37 | MT | Primary |
Addresses
Primary practice location
825 W Kent Ave
Missoula, MT 59801-6619
Mailing address
825 W Kent Ave
Missoula, MT 59801-6619
Phone (406) 240-0604
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294272000000",
"number": "1598069429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 W KENT AVE",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598016619",
"telephone_number": "406-240-0604",
"fax_number": "406-721-0055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 W KENT AVE",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598016619",
"telephone_number": "406-240-0604",
"fax_number": "406-721-0055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRANA FAMILY PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-06",
"last_updated": "2011-01-06",
"status": "A",
"authorized_official_last_name": "OPPER",
"authorized_official_first_name": "MINDY",
"authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
"authorized_official_telephone_number": "406-240-0604",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "MT",
"license": "37",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.