OrganizationActive
Basecamp Pediatrics
NPI 1194540120 · Pediatrics Physician · Missoula, MT
Provider details
- NPI number
- 1194540120
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tara Patrick, Owner, Pnp(406) 240-1229
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2230 27th Ave Ste 3
Missoula, MT 59804-5128
Phone: (406) 214-4577
Approximate (ZIP-level) locationGet directions
Mailing address
110 E Kent Ave
Missoula, MT 59801-6028
Registry dates
- Enumerated
- 2024-11-15
- Last updated
- 2024-11-15
- Certified
- 2024-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.