National Provider Identifier Database

CLARK FORK HEALTHCARE LLC
Hospice Care, Community Based


Contact Information

CLARK FORK HEALTHCARE, LLC
3760 MULLAN ROAD
SUITE 101
MISSOULA, MT59808-6455
Phone: 406-543-4408
Fax:
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for CLARK FORK HEALTHCARE, LLC

NPI Number 1962042754
Legal business name
LBN
CLARK FORK HEALTHCARE, LLC
Authorized official AMBER TUELLER - (SECRETARY)
Entity Organization
Organization subpart No
Enumeration date 01/09/2020
Last updated 04/17/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

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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