Big Sky Medical Wellness, PLLC
Organization Active NPI Health Service Clinic/Center · Lakeside, MT
NPI 1710645403 · NPPES record last updated Nov 30, 2021
Key facts
- NPI
- 1710645403
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Service Clinic/Center 261QH0100X
- Legal business name
- BIG SKY MEDICAL WELLNESS, PLLC
- Practice address
- 352 Ridge Line Dr
Lakeside, MT 59922-9761 - Phone
- (406) 885-9057
- Fax
- (844) 222-5679
- NPI assigned
- Nov 30, 2021
- Organization subpart
- No
Authorized official
- Name
- Colleen Dawkins, FNP-C
- Title
- Owner/Nurse Practitioner
- Phone
- (406) 885-9057
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Yes |
Addresses
Primary practice location
352 Ridge Line Dr
Lakeside, MT 59922-9761
Mailing address
352 Ridge Line Dr
Lakeside, MT 59922-9761
Phone (406) 885-9057
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699190611 | Other | PROVIDER NPI |
Other providers in Lakeside, MT
- Susan Kinkade Antley
- Brave Life Counseling PLLC
- Frank Brisendine
- Fredrick Brown
- Benjamin David Bushnell
- Christine J Childers
All providers in Lakeside, MT · Health Service Clinic/Center in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.