Healthcare Provider Details

I. General information

NPI: 1568303493
Provider Name (Legal Business Name): TAMARACK HEALTH DPC OF THE BITTERROOT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 N 1ST ST
HAMILTON MT
59840-2528
US

IV. Provider business mailing address

310 N 1ST ST
HAMILTON MT
59840-2528
US

V. Phone/Fax

Practice location:
  • Phone: 406-361-7778
  • Fax:
Mailing address:
  • Phone: 406-361-7778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MANDI GRIFFIN
Title or Position: OWNER/PROVIDER
Credential: MD
Phone: 406-361-7778