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NPI Code Detail

MEDICARE: PAMELA MARIE MONTGOMERY CHW

MEDICARE: PAMELA MARIE MONTGOMERY CHW
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
1175T00000XPeer Specialist1841151388MI
2172V00000XCommunity Health WorkerMI

General Provider Information

NPI Number : 1841151388
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA MARIE MONTGOMERY CHW
Provider Business Mailing Address
First Line : 14866 TIMBER LN
Second Line :
City : SPRING LAKE
State : MI
Zip : 49456-1195
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2201 S GETTY ST
Second Line :
City : MUSKEGON HEIGHTS
State : MI
Zip : 49444-1207
Country : US
Telephone Number : 231-739-9315
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2025
Last Update Date : 03/09/2026

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Directions to “ PAMELA MARIE MONTGOMERY CHW” Practice Location

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