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General NPI Number Information
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NPI Number | 1225836554
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Entity Type | Organization
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Legal Business Name | MISSOULA COMMUNITY HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 341 MT I35
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City | SAINT REGIS
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State | MT
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Zip | 59866
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Country | US
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Telephone | 406-649-7307
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Fax |
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Provider Business Mailing Address
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Address Line | 1208 6TH AVE
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City | SUPERIOR
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State | MT
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Zip | 59872-9667
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Country | US
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Telephone | 406-822-4841
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LAUREL G. CHAMBERS
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Credential |
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Telephone | 406-822-4841
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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