Healthcare Provider Details

I. General information

NPI: 1073669461
Provider Name (Legal Business Name): PEAK HEALTH & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 W MAIN ST
BELGRADE MT
59714-3401
US

IV. Provider business mailing address

PO BOX 5515
PORTLAND OR
97228-5515
US

V. Phone/Fax

Practice location:
  • Phone: 406-388-8708
  • Fax: 406-388-8710
Mailing address:
  • Phone: 337-202-0720
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: ERICA HAUSER
Title or Position: CFO
Credential:
Phone: 312-590-5372