The Laurel Clinic PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

THE LAUREL CLINIC PLLC

Practice address

319 1St Ave
Laurel, MT 59044-3031

Phone

(406) 628-4955

Fax

(406) 628-4362

NPI assigned

Nov 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert Bruce Vannice, M.D.NPI 1104992908

Title

Owner

Phone

(406) 628-4955

Specialties & licenses 1

Addresses

Other names 1

• THE LAUREL CLINIC Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Bruce Vannice, MD

  • Family Medicine Physician
  • Laurel, MT
  • NPI 1104992908

  Family Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1710168596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 445",
            "city": "LAUREL",
            "state": "MT",
            "postal_code": "590440445",
            "telephone_number": "406-628-4955",
            "fax_number": "406-628-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 1ST AVE",
            "city": "LAUREL",
            "state": "MT",
            "postal_code": "590443031",
            "telephone_number": "406-628-4955",
            "fax_number": "406-628-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LAUREL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "VANNICE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-628-4955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE LAUREL CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in Laurel, MT
• Family Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.