Healthcare Provider Details

I. General information

NPI: 1518721240
Provider Name (Legal Business Name): SAMANTHA REED APRN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2024
Last Update Date: 04/18/2024
Certification Date: 04/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 VILLAGE DR STE 303
BELGRADE MT
59714-9617
US

IV. Provider business mailing address

PO BOX 1377
BELGRADE MT
59714-1377
US

V. Phone/Fax

Practice location:
  • Phone: 406-393-0222
  • Fax:
Mailing address:
  • Phone: 406-393-0222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: SAMANTHA REED
Title or Position: OWNER
Credential: APRN PMHNP
Phone: 406-393-0222