Healthcare Provider Details

I. General information

NPI: 1083974661
Provider Name (Legal Business Name): PARTNERSHIP HEALTH CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2012
Last Update Date: 03/03/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3050 HIGHWAY 83 NORTH
SEELEY LAKE MT
59868
US

IV. Provider business mailing address

323 W ALDER ST
MISSOULA MT
59802-4123
US

V. Phone/Fax

Practice location:
  • Phone: 406-258-4496
  • Fax: 406-258-4180
Mailing address:
  • Phone: 406-258-4496
  • Fax: 406-258-4180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: MRS. LARA SALAZAR
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 406-258-3360