Organization · NPI-2

Aim Healthcare Providers Mt, PLLC

Family Medicine · Missoula, MT

NPI number1063356012
StatusActive
Last updated in NPPESApr 17, 2026

Details

NPI
1063356012
Entity type
Organization (NPI-2)
Legal business name
Aim Healthcare Providers Mt, PLLC
Organization subpart
Yes
Enumeration date
Apr 17, 2026
Certification date
Apr 17, 2026
Last updated
Apr 17, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

2425 W Central Ave Ste 203&205
Missoula, MT 59801-6402

Phone 480-494-2465

Mailing address

5525 Granite Pkwy Ste 780
Plano, TX 75024-4364

Phone 480-494-2465

Authorized official

Kelly Karaniuk
Credentialing Director
4804476841

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