Healthcare Provider Details

I. General information

NPI: 1922994664
Provider Name (Legal Business Name): REGIONAL ACCESS MOBILITY PROGRAM OF MONTANA INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2025
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 S HIGGINS AVE
MISSOULA MT
59801-5763
US

IV. Provider business mailing address

1801 S HIGGINS AVE
MISSOULA MT
59801-5763
US

V. Phone/Fax

Practice location:
  • Phone: 406-728-3710
  • Fax:
Mailing address:
  • Phone: 406-728-3710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: RUTH BURKE
Title or Position: BOARD CHAIR
Credential:
Phone: 406-728-3710