Mission Valley Health Clinic, Incorporated

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

145 Issued in MT

Legal business name

MISSION VALLEY HEALTH CLINIC, INCORPORATED

Practice address

35773 Airport Rd
St Ignatius, MT 59865-9001

Phone

(406) 745-8765

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Sabrina Jane Castor

Title

Office Manager

Phone

(406) 745-8765

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1982659652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35773 AIRPORT RD",
            "city": "ST IGNATIUS",
            "state": "MT",
            "postal_code": "598659001",
            "telephone_number": "406-745-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35773 AIRPORT RD",
            "city": "ST IGNATIUS",
            "state": "MT",
            "postal_code": "598659001",
            "telephone_number": "406-745-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION VALLEY HEALTH CLINIC, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "CASTOR",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "406-745-8765"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "MT",
            "license": "145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Miller, RD
• Millpond Home
• Mission Drug LLC
• Mission Mountains Osteopathy
• Mission Valley Ambulance
• Mission Valley Speech Therapy,LLC
• Gena Montoya
• Brenda Morton, RN
• Wendy Musser, RN
• Cameron Neiss, PHARMD

• Medical Physician Assistant in St Ignatius, MT
• Providers in St Ignatius, MT by specialty
• Medical Physician Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.