Organization Active NPI

Summit Independent Living Center Inc

  • Clinical Social Worker
  • Missoula, MT
National Provider Identifier
1811539703
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SUMMIT INDEPENDENT LIVING CENTER INC
Practice address
700 SW Higgins Ave Ste 101
Missoula, MT 59803-1489
Phone
(406) 728-1630
Fax
(406) 829-3309
NPI assigned
Oct 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Authorized official

Name
Scott D Fels
Title
Financial Officer
Phone
(406) 728-1630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

700 SW Higgins Ave Ste 101
Missoula, MT 59803-1489

Mailing address

700 SW Higgins Ave Ste 101
Missoula, MT 59803-1489
Phone (406) 728-1630

National Provider Directory

National Provider Directory
Tax ID family
Summit Independent Living Center Inc2 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.

Locations

700 SW Higgins Ave
Ste 101
Missoula, MT 59803
Phone (406) 728-1630

NPI Registry JSON

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570752000000",
    "number": "1811539703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SW HIGGINS AVE STE 101",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598031489",
            "telephone_number": "406-728-1630",
            "fax_number": "406-829-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SW HIGGINS AVE STE 101",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598031489",
            "telephone_number": "406-728-1630",
            "fax_number": "406-829-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT INDEPENDENT LIVING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-11",
        "status": "A",
        "authorized_official_last_name": "FELS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "FINANCIAL OFFICER",
        "authorized_official_telephone_number": "406-728-1630"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Oct 11, 2019; 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.