OrganizationActive
Mothers' Milk Bank of Montana
NPI 1407361736 · Parenteral & Enteral Nutrition Supplies (DME) · Missoula, MT
Provider details
- NPI number
- 1407361736
- Entity type
- Organization
- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Jessica Welborn, Executive Director(406) 531-6789
Specialties & taxonomies
Suppliers
- Specialist174400000X
Other Service Providers
Practice location
2825 Stockyard Rd Ste C1
Missoula, MT 59808-1502
Phone: (406) 531-6789
Fax: (888) 287-1423
Approximate (ZIP-level) locationGet directions
Mailing address
2825 Stockyard Rd Ste C1
Missoula, MT 59808-1502
Registry dates
- Enumerated
- 2017-12-08
- Last updated
- 2017-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.