OrganizationActive
Blue Mountain Clinic, Inc.
NPI 1407987548 · Family Medicine Physician · Missoula, MT
Provider details
- NPI number
- 1407987548
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Annie Hansen, Executive Director(406) 721-1646
- License
- 9607 (MT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
610 N California St
Missoula, MT 59802-3950
Phone: (406) 721-1946
Fax: (406) 543-9890
Approximate (ZIP-level) locationGet directions
Mailing address
610 N California St
Missoula, MT 59802-3950
Registry dates
- Enumerated
- 2007-03-08
- Last updated
- 2016-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.