1952797243 NPI number — MOMENTUM PROSTHETIC CLINIC LLC

Table of content: (NPI 1952797243)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952797243 NPI number — MOMENTUM PROSTHETIC CLINIC LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MOMENTUM PROSTHETIC CLINIC LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952797243
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/02/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3817 STEPHENS AVE STE 2
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MISSOULA
Provider Business Mailing Address State Name:
MT
Provider Business Mailing Address Postal Code:
59801-8505
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
406-926-1321
Provider Business Mailing Address Fax Number:
406-926-1327

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3817 STEPHENS AVE STE 2
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MISSOULA
Provider Business Practice Location Address State Name:
MT
Provider Business Practice Location Address Postal Code:
59801-8542
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
406-926-1321
Provider Business Practice Location Address Fax Number:
406-926-1327
Provider Enumeration Date:
04/13/2015

Additional Information

Authorized Official

Authorized Official Last Name:
CREEKMORE
Authorized Official First Name:
CLIFFORD
Authorized Official Middle Name:
HENRY
Authorized Official Title or Position:
PRACTITIONER/MANAGING MEMBER
Authorized Official Telephone Number:
406-529-0474

Provider Taxonomy Codes

  • Taxonomy code: 335E00000X , with the licence number:  2015-MSS-GEN-00092 , registered in the state of MT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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