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Contact Information

DBA PHC RUSSELL ELEMENTARY
3216 S RUSSELL ST
MISSOULA, MT59801-8537
 Phone: 406-370-0487
 Fax: 406-258-4732
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for DBA PHC RUSSELL ELEMENTARY · (Female)

NPI # 1215769906
Status Active
Credentials
Entity Individual
Enumeration date 08/20/2024
Last updated 02/21/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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