MEDICARE: UNION GOSPEL MISSION OF MISSOULA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1255297438
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNION GOSPEL MISSION OF MISSOULA

Provider Business Mailing Address
First Line	:	2811 LATIMER ST STE 223
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59808-1698
Country	:	US
Telephone Number	:	406-542-5240
Fax Number	:

Provider Business Practice Location Address
First Line	:	2811 LATIMER ST STE 223
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59808-1698
Country	:	US
Telephone Number	:	406-542-5240
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF OUTREACH
Name	:	NATHAN DAGGETT
Credential	:
Telephone Number	:	406-552-7484

Provider Enumeration Date	:	12/31/2025
Last Update Date	:	01/14/2026

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Directions to “UNION GOSPEL MISSION OF MISSOULA ” Practice Location

Language	Start Address	Practice Location

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