MEDICARE: MONTANA HEADACHE CLINIC

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	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1982463147
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONTANA HEADACHE CLINIC

Provider Business Mailing Address
First Line	:	5990 COCHISE DR
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59804-9501
Country	:	US
Telephone Number	:	406-215-2755
Fax Number	:

Provider Business Practice Location Address
First Line	:	3010 SANTE FE COURT
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59808-1730
Country	:	US
Telephone Number	:	406-215-2755
Fax Number	:	406-213-9980

Authorized Official
Title or Position	:	OWNER
Name	:	SUSAN BETH MCGEE
Credential	:	NP
Telephone Number	:	406-215-2755

Provider Enumeration Date	:	03/18/2024
Last Update Date	:	12/11/2025

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Directions to “MONTANA HEADACHE CLINIC ” Practice Location

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