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MOCCASIN MOUNTAIN HEALTH CLINIC, INC
NPI 1053158766
General Practice in Lewistown, MT

Active since July 10, 2024
629 NE MAIN ST STE 2, LEWISTOWN, MT 59457(406) 321-2431 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Moccasin Mountain Health Clinic, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOCCASIN MOUNTAIN HEALTH CLINIC, INC (NPI 1053158766) is a healthcare organization registered as a general practice in Lewistown, Montana and active in the NPI registry since July 2024. The organization lists Randi Rath, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053158766
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMOCCASIN MOUNTAIN HEALTH CLINIC, INC
Location Address629 NE MAIN ST STE 2Lewistown, MT 59457-2082
Mailing Address920 6th Ave NLewistown, MT 59457-2125 · (406) 321-2431
Phone(406) 321-2431
Organization SubpartNo
Authorized OfficialRandi RathCeo · (406) 321-2431
Enumeration DateJuly 10, 2024
NPPES CertifiedJuly 10, 2024
✔ NPI 1053158766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
629 NE MAIN ST STE 2, Lewistown, MT 59457
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 27D2308949

Moccasin Mountain Health Clinic, Inc · Lewistown, MT
Expired · Aug 6, 2026
CLIA Number27D2308949
Laboratory TypePhysician Office
Certificate Effective DateAugust 7, 2024
Certificate Expiration DateAugust 6, 2026
Laboratory DirectorRandi M. Rath
Laboratory Phone(406) 321-2431
Laboratory LocationMoccasin Mountain Health Clinic, Inc629 NE Main St Suite 2, Lewistown, MT 59457
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Moccasin Mountain Health Clinic, Inc's NPI number?

The NPI number for Moccasin Mountain Health Clinic, Inc is 1053158766. It was assigned to this organization in the NPPES registry on July 10, 2024.

Where is Moccasin Mountain Health Clinic, Inc located?

Moccasin Mountain Health Clinic, Inc is located at 629 NE Main St Ste 2, Lewistown, MT 59457. The listed phone number is (406) 321-2431.

What is Moccasin Mountain Health Clinic, Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Moccasin Mountain Health Clinic, Inc was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.