Tms Missoula LLC
Internal Medicine in Missoula, MT. Organization (NPI-2).
NPI number1003370396
StatusActive
Last updated in NPPESMar 2, 2021
Details
- NPI
- 1003370396
- Entity type
- Organization (NPI-2)
- Legal business name
- Tms Missoula LLC
- Organization subpart
- No
- Enumeration date
- Jan 30, 2019
- Certification date
- Mar 2, 2021
- Last updated
- Mar 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QP2300X | Clinic/Center, Primary Care | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – |
Other names
- Tms Revitalizes (Doing Business As)
Practice location
2809 Great Northern LoopSte 410
Missoula, MT 59808-1749
Phone 406-493-1344 · Fax 406-830-3127
Mailing address
2809 Great Northern LoopSuite 410
Missoula, MT 59808-1749
Phone 406-493-1344 · Fax 406-830-3127
Authorized official
Anna Marie Tschida
Tms Technician/Owner
4064931344
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