DBA PHC RUSSELL ELEMENTARY; NPI #1215769906

Contact Information

DBA PHC RUSSELL ELEMENTARY

3216 S RUSSELL ST
MISSOULA, MT 59801-8537

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

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NPI Profile & details for DBA PHC RUSSELL ELEMENTARY

NPI #	`1215769906`
LBN Legal business name	DBA PHC RUSSELL ELEMENTARY
Authorized official	LARA SALAZAR - (BILLING MANAGER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	08/20/2024
Last updated	02/21/2025 - 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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DBA PHC RUSSELL ELEMENTARY

Contact Information

Specialty

Mental Health

Federally Qualified Health Center (FQHC)

NPI Profile & details for DBA PHC RUSSELL ELEMENTARY

Reviews for DBA PHC RUSSELL ELEMENTARY