Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Mountain Clinic, Inc

Organization Family Medicine Physician · NPI 1407987548

Blue Mountain Clinic, Inc is a Family Medicine Physician in Missoula, Montana. Licensed in Montana. Registered with an NPI since 2007.

Licensed in
MT
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

610 N California St
Missoula, MT 59802-3950
Phone: (406) 721-1946
Fax: (406) 543-9890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 9607 (MT)

Record details

NPI number1407987548
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Annie Hansen — Executive Director · (406) 721-1646
NPI enumeratedMarch 8, 2007
Last updated in NPPESMay 24, 2016
Mailing address610 N California St, Missoula, MT 59802-3950

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