Organization Active NPI

The Golgi Clinic, LLC

  • Primary Care Clinic/Center
  • Missoula, MT
National Provider Identifier
1740728583
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
THE GOLGI CLINIC, LLC
Practice address
113 W Front St
Suite 201
Missoula, MT 59802-4332
Phone
(406) 541-8886
NPI assigned
Feb 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Authorized official

Name
Dr. Teresita Martinez, NDNPI 1770512220
Title
Owner, Member
Phone
(406) 360-9123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

113 W Front St
Suite 201
Missoula, MT 59802-4332

Mailing address

113 W Front St
Suite 201
Missoula, MT 59802-4332
Phone (406) 541-8886

Other names 1

  • The Golgi Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

113 W Front St
Ste 201
Missoula, MT 59802
Phone (406) 541-8886

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485907200000",
    "number": "1740728583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W FRONT ST",
            "address_2": "SUITE 201",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024332",
            "telephone_number": "406-541-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W FRONT ST",
            "address_2": "SUITE 201",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024332",
            "telephone_number": "406-541-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GOLGI CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "TERESITA",
        "authorized_official_title_or_position": "OWNER, MEMBER",
        "authorized_official_telephone_number": "406-360-9123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Golgi 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 Feb 1, 2017; 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.