EDGEWOOD VISTA
NPI 1366595597
Assisted Living Facility in Missoula, MT
About Edgewood Vista NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDGEWOOD VISTA (NPI 1366595597) is a healthcare organization registered as an assisted living facility in Missoula, Montana and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through August 29, 2026 and lists Brett Wilkening, Billing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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 27D1058159
Edgewood Vista - Missoula · Missoula, MTOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MISSOULA, MT 59808
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 Edgewood Vista's NPI number?
The NPI number for Edgewood Vista is 1366595597. It was assigned to this organization in the NPPES registry on January 19, 2007.
Where is Edgewood Vista located?
Edgewood Vista is located at 2815 Palmer St, Missoula, MT 59808. The listed phone number is (406) 549-9660.
What is Edgewood Vista's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Edgewood Vista hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 27D1058159) is associated with this NPI, valid through August 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Edgewood Vista was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Edgewood Vista · NPI 1366595597
Assisted Living Facility organization in Missoula, Montana. Organization record, active in the CMS NPPES registry since January 19, 2007.
## Identity
- **NPI:** 1366595597 (Entity type: Organization)
- **Enumerated:** January 19, 2007
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Brett Wilkening, BILLING
## Practice location
- **Address:** 2815 PALMER ST, Missoula, MT 59808-1643
- **Phone:** (406) 549-9660
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Medicaid 840191 (MT)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1366595597) · Data from the CMS NPPES public registry.