CLARK FORK HEALTHCARE, LLC; NPI #1962042754

Contact Information

CLARK FORK HEALTHCARE, LLC

3760 MULLAN ROAD
SUITE 101
MISSOULA, MT 59808-6455

Phone: 406-543-4408
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Hospice Care, Community Based	251G00000X	B4[14]	Hospice

Indicates primary specialty

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NPI Profile & details for CLARK FORK HEALTHCARE, LLC

NPI Number	`1962042754`
LBN Legal business name	CLARK FORK HEALTHCARE, LLC
Authorized official	AMBER TUELLER - (SECRETARY)
Entity	Organization
Organization subpart ¹	No
Enumeration date	01/09/2020
Last updated	04/17/2025 - More than a year ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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CLARK FORK HEALTHCARE, LLC

Contact Information

Specialty

Hospice Care, Community Based

NPI Profile & details for CLARK FORK HEALTHCARE, LLC

Reviews for CLARK FORK HEALTHCARE, LLC