NPIMap

Organization Active NPI

Ohana Providers, PLLC

  • Clinic/Center
  • Missoula, MT
National Provider Identifier
1922604693
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
OHANA PROVIDERS, PLLC
Practice address
111 N Higgins Ave Ste 600
Missoula, MT 59802-4494
Phone
(206) 406-6729
NPI assigned
Dec 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Authorized official

Name
Chelsea BodnarNPI 1043323074
Title
Manager
Phone
(406) 290-9769

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

111 N Higgins Ave Ste 600
Missoula, MT 59802-4494

Mailing address

111 N Higgins Ave Ste 600/ P.O. Box 4747
Missoula, MT 59802-4494
Phone (206) 406-6729

National Provider Directory

National Provider Directory
Tax ID family
Montana Pediatrics2 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

111 N Higgins Ave
Ste 600
Missoula, MT 59802
Phone (206) 406-6729

Practitioners & affiliated clinicians

Practitioners 1

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": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1922604693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N HIGGINS AVE STE 600/ P.O. BOX 4747",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024494",
            "telephone_number": "206-406-6729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N HIGGINS AVE STE 600",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024494",
            "telephone_number": "206-406-6729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHANA PROVIDERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "BODNAR",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "406-290-9769"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 Dec 8, 2020; 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.