| Pangea Health Services Llc | |
|
4254 Bordeaux Blvd Missoula MT 59808-9686 | |
| (406) 871-5814 | |
| (406) 214-6334 |
| Full Name | Pangea Health Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4254 Bordeaux Blvd, Missoula, Montana |
| Authorized Official Name and Position | Ashley Gummer (OWNER) |
| Authorized Official Contact | 4068715814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pangea Health Services Llc 4254 Bordeaux Blvd Missoula MT 59808-9686 Ph: (406) 871-5814 | Pangea Health Services Llc 4254 Bordeaux Blvd Missoula MT 59808-9686 Ph: (406) 871-5814 |
| NPI Number | 1124586607 |
|---|---|
| Provider Enumeration Date | 03/04/2019 |
| Last Update Date | 03/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124586607 | NPI | - | NPPES |
| 0553189 | Medicaid | MT |
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