Montana Whole Health
Clinic/Center, Medical Specialty in Missoula, MT. Organization (NPI-2).
NPI number1508312059
StatusActive
Last updated in NPPESFeb 26, 2021
Details
- NPI
- 1508312059
- Entity type
- Organization (NPI-2)
- Legal business name
- Montana Whole Health
- Organization subpart
- No
- Enumeration date
- Aug 25, 2016
- Certification date
- Feb 26, 2021
- Last updated
- Feb 26, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | AHC-NAT-LIC-811 | MT | Yes |
| 261QM2500X | Clinic/Center, Medical Specialty | – | – | |
| 261QP2300X | Clinic/Center, Primary Care | AHC-NAT-LIC-811 | MT | |
| 261QP2300X | Clinic/Center, Primary Care | – | – |
Practice location
2835 Fort Missoula Rd, Ste 306Missoula, MT 59804-7424
Phone 406-552-1717 · Fax 406-203-5130
Mailing address
2835 Fort Missoula Rd, Ste 306Missoula, MT 59804-7424
Phone 406-552-1717 · Fax 406-203-5130
Authorized official
Erika Isabella Krumbeck
Owner
4065525041
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