NPI 1376411157
The Lifeguardgroup
Practice location
- Address
- 1515 Fairview Ave STE 210, Missoula, MT 59801-7817
- Phone
- (406) 396-5053
- Mailing address
- PO Box 166, Victor, MT 59875-0166
Authorised official
- Name
- Heidi Grace Stockbauer
- Title
- Case Manager
- Phone
- (406) 396-5053
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1376411157
- Entity type
- Organization
- NPI issued
- 24 Oct 2025
- Record last updated
- 24 Oct 2025
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.