MEDICARE: COGENT HEALTHCARE OF MONTANA P C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	363A00000X	Physician Assistant
2	208M00000X	Hospitalist Physician
3	364S00000X	Clinical Nurse Specialist
4	363L00000X	Nurse Practitioner
5	207Q00000X	Family Medicine Physician
6	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053569525
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COGENT HEALTHCARE OF MONTANA P C

Provider Business Mailing Address
First Line	:	1222 DEMONBREUN ST STE 1601
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-7092
Country	:	US
Telephone Number	:	253-682-6040
Fax Number	:	888-241-1404

Provider Business Practice Location Address
First Line	:	2827 FORT MISSOULA RD
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59804-7408
Country	:	US
Telephone Number	:	406-728-4100
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	LAURA FALL
Credential	:
Telephone Number	:	253-682-6040

Provider Enumeration Date	:	09/08/2008
Last Update Date	:	06/04/2026

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