=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952361198
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MARRINAN F & G INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/23/2006
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 523 N HIGGINS AVE
-----------------------------------------------------
City | MISSOULA
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59802-4534
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-721-6640
-----------------------------------------------------
Fax | 406-721-7886
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 523 N HIGGINS AVE
-----------------------------------------------------
City | MISSOULA
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59802-4534
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-721-6640
-----------------------------------------------------
Fax | 406-721-7886
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | VP
-----------------------------------------------------
Name | DEBORAH KAE MARRINAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 406-240-2471
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number | 1058
-----------------------------------------------------
License Number State | MT
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number | 1058
-----------------------------------------------------
License Number State | MT
-----------------------------------------------------