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General NPI Number Information
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NPI Number | 1477439131
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Entity Type | Organization
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Legal Business Name | PARTNERSHIP HEALTH CENTER INC
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Dates
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Enumeration Date | 08/15/2025
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 2355 FLYNN LN BLDG 1
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City | MISSOULA
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State | MT
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Zip | 59808-5608
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Country | US
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Telephone | 406-258-4789
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Fax | 406-258-4578
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Provider Business Mailing Address
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Address Line | 401 RAILROAD ST W
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City | MISSOULA
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State | MT
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Zip | 59802-4178
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Country | US
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Telephone | 406-258-4789
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Fax | 406-258-4578
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Authorized Official
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Title or Position | CEO
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Name | LARA SALAZAR
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Credential |
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Telephone | 406-258-3360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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