Libby A Costello Gard in Missoula - Ambulatory Care
Libby A Costello Gard - NPI 1326239195
Libby A Costello Gard is a Ambulatory Care in Missoula, Montana. Libby A Costello Gard practices all healthcare services and medical treatments related to Ambulatory Care. The NPI Number for Libby A Costello Gard is 1326239195. The last update date is 2021-05-10.
Libby A Costello Gard's current location address is 1211 S Reserve St Ste 101, Missoula, Montana. You can contact this provider via phone number 4063273057 and fax number 4063273231. The mailing address for Libby A Costello Gard is 1211 S Reserve St Ste 101, Missoula, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Libby A Costello Gard |
|---|---|
| Address | 1211 S Reserve St Ste 101, Missoula, Montana |
| Phone Number | 4063273057 |
| Fax Number | 4063273231 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1326239195 |
|---|---|
| Provider Enumeration Date | 2007-08-07 |
| Last Updated Date | 2021-05-10 |
Provider Mailing Address Detail
| Address | 1211 S Reserve St Ste 101 |
|---|---|
| City | Missoula |
| State | Montana (MT) |
| Post Code | 598013103 |
| Phone Number | 4063273057 |
| Fax Number | 4063273231 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Care |
|---|---|
| Taxonomy | 163Wp2201X |
| Licence No | 099007632RN |
|
Definition: A registered nurse who provides care in outpatient settings. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500616442 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Libby A Costello Gard by the Centers for Medicare & Medicaid Services?
The Libby A Costello Gard has been assigned the NPI (National Provider Identifier) 1326239195. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Libby A Costello Gard?
The Libby A Costello Gard is physically situated at 1211 S Reserve St Ste 101, in the city of Missoula, state of MT, with the postal code 598013103.
What is the Libby A Costello Gard's area of specialization and corresponding taxonomy classification?
The Libby A Costello Gard's specialty field is Ambulatory Care, and it falls under the taxonomy code 163Wp2201X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1326239195 to Libby A Costello Gard?
The Centers for Medicare & Medicaid Services assigned the 1326239195 to Libby A Costello Gard on 2007-08-07.
As of what date were the details related to Libby A Costello Gard most recently updated or revised?
The information pertaining to Libby A Costello Gard, including its address, specialty, and other relevant details, was last updated or revised on 2021-05-10.