Active NPI
Summit Independent Living Center Inc
- Clinical Social Worker
- Missoula, MT
National Provider Identifier
1811539703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Missoula, MT
- NPI 1235937939
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
- Nicole Marie Summerday, PHARM D
- Shannon James Summers, M.D.
- Summit Chiropractic PC
- Summit Diabetes Center, PLLC (Summit Diabetes Center)
- Summit Independent Living Center Inc
- Summit Psychotherapy PLLC
- Sunburst Health LLC (Cedar Creek Integrated Health)
- Sunset Fire Counseling, LLC
- Stephanie Suprenant, M.D.
- William Allen Surber II, MD
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.