MOUNTAIN KIDS PEDIATRICS NPI 1982354908

NPI Information

  • NPI: 1982354908
  • Provider Name: MOUNTAIN KIDS PEDIATRICS
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 27D2256933
  • Address: 2825 FORT MISSOULA RD STE 201
    MISSOULA, MT
    ZIP 59804
  • Phone: (406) 721-5566

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NPI Details

MOUNTAIN KIDS PEDIATRICS is a pediatrics in Missoula, MT. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MOUNTAIN KIDS PEDIATRICS NPI is 1982354908. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2825 FORT MISSOULA RD STE 201
MISSOULA, MT
ZIP 59804-403
Phone: (406) 721-5566

The provider's authorized official is William Hastings .
The authorized official title is Owner and has the following contact phone number (406) 721-5566.

The CLIA number assigned to this NPI record is 27D2256933 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/24/2022 and was last updated on 3/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

What is NPI?

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This page was last updated on: 3/30/2025

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