Espe Navigation Group, Llc | |
2112 Dixon Ave Ste 5 Missoula MT 59801-8226 | |
(406) 926-2011 | |
Not Available |
Full Name | Espe Navigation Group, Llc |
---|---|
Speciality | Community/Behavioral Health |
Location | 2112 Dixon Ave Ste 5, Missoula, Montana |
Authorized Official Name and Position | Sami Lemons-velez (PRESIDENT) |
Authorized Official Contact | 4069262011 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Espe Navigation Group, Llc Po Box 323 Missoula MT 59806-0323 Ph: (406) 926-2011 | Espe Navigation Group, Llc 2112 Dixon Ave Ste 5 Missoula MT 59801-8226 Ph: (406) 926-2011 |
NPI Number | 1760903041 |
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Provider Enumeration Date | 06/27/2017 |
Last Update Date | 02/29/2024 |
Certification Date | 02/29/2024 |
Medicare PECOS PAC ID | 6103184346 |
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Medicare Enrollment ID | O20171218001804 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760903041 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Sami Jo Lemons-velez |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1790206076 PECOS PAC ID: 0244502433 Enrollment ID: I20170823001841 |
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