BASECAMP PEDIATRICS
NPI 1194540120
Pediatrics in Missoula, MT

Active since November 15, 2024CLIA 27D2314252 · Waiver
2230 27TH AVE STE 3, MISSOULA, MT 59804(406) 214-4577 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Basecamp Pediatrics NPPES

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

BASECAMP PEDIATRICS (NPI 1194540120) is a pediatrics in Missoula, Montana and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through November 14, 2026 and lists Tara Patrick, Owner, Pnp, as its authorized official.Information from the official NPPES registry record, last updated November 15, 2024.

NPPES Registry Identity

NPI1194540120
Entity TypeOrganization
Legal Business NameBASECAMP PEDIATRICS
Location Address2230 27TH AVE STE 3Missoula, MT 59804-5128
Mailing Address110 E Kent AveMissoula, MT 59801-6028 · (406) 240-1229
Organization SubpartNo
Authorized OfficialTara PatrickOwner, Pnp · (406) 240-1229
Enumeration DateNovember 15, 2024
NPPES CertifiedNovember 15, 2024
NPI 1194540120 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Pediatrics

Taxonomy 208000000X · Allopathic & Osteopathic Physicians

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services… Show more

2230 27TH AVE STE 3, Missoula, MT 59804

Also on File with NPPES

Group Practice1
This 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 Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
27D2314252
Facility Type
Practitioner Other
Certificate Effective Date
November 15, 2024
Certificate Expiration Date
November 14, 2026
Laboratory Director
TARA L. PATRICK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Basecamp Pediatrics to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for BASECAMP PEDIATRICS

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nurse Practitioner
2230 27TH AVE STE 3
MISSOULA, MT 59804
Nurse Practitioner (Family)
2230 27TH AVE STE 3
MISSOULA, MT 59804

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194540120, enumerated as an "organization" on November 15, 2024.

The provider is located at 2230 27TH AVE STE 3 MISSOULA, MT 59804 and the phone number is (406) 214-4577.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana. Please consult your insurance carrier or call the provider to verify.