NPI 1225771728

Monida Healthcare Network Resources

Organisation Preferred Provider Organization Missoula, MT

Practice location

Address: 1200 S Reserve St STE H, Missoula, MT 59801-3107
Phone: (406) 829-2380

Authorised official

Name: Jackie Wiest
Title: Controller
Phone: (406) 829-2380

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in Montana →

Registry record

NPI: 1225771728
Entity type: Organization
NPI issued: 14 Apr 2022
Record last updated: 26 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.