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

Mountainside Medical, LLC

Organization Adult Health Nurse Practitioner · NPI 1487482543

Mountainside Medical, LLC is an Adult Health Nurse Practitioner in Stevensville, Montana. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

704 Main St
Stevensville, MT 59870-2828
Phone: (406) 303-9781
Fax: (880) 440-2614
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X

Record details

NPI number1487482543
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carson Gomez — Owner · (406) 303-9781
NPI enumeratedJuly 22, 2024
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025
Mailing address704 Main St, Stevensville, MT 59870-2828

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