Mtink

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

MTINK

Doing business as

Green Bean Coffeeshop

Practice address

2710 Brooks St
Suite 2
Missoula, MT 59801-7868

Phone

(406) 544-7873

NPI assigned

Mar 30, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Guy Robert Silvernale

Title

Manager

Phone

(406) 544-7873

Specialties & licenses 1

Addresses

Other names 1

• Green Bean Coffeeshop Doing business as

Tax ID family

Green Bean Coffeeshop2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Paradyme Enterprises, LLC

  • Non-Pharmacy Dispensing Site
  • Missoula, MT
  • NPI 1114243367
  NPD tax ID

Locations

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1619292901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 BROOKS ST",
            "address_2": "SUITE 2",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017868",
            "telephone_number": "406-544-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 BROOKS ST",
            "address_2": "SUITE 2",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017868",
            "telephone_number": "406-544-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTINK",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "SILVERNALE",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "406-544-7873",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Bean Coffeeshop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexis Mower
• Monica Moya Balasch, MD
• Paula Diane Moyes, LCSW
• Mpowered Communication and Literacy, LLC
• Tracey Mrachek
• Patrice L Mudie, LCPC
• Emily Mulhausen
• Gregory Muljadi
• Leslie M Mullette, LICENSED OTR, ATP
• Tara Sillars Mund, D.P.T.

• Non-Pharmacy Dispensing Site in Missoula, MT
• Providers in Missoula, MT by specialty
• Non-Pharmacy Dispensing Site in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.