MOUNTAINSIDE MEDICAL, LLC
NPI 1487482543
Nurse Practitioner - Adult Health in Stevensville, MT
About Mountainside Medical, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOUNTAINSIDE MEDICAL, LLC (NPI 1487482543) is a healthcare organization registered as an adult health in Stevensville, Montana and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through December 16, 2026 and lists Carson C Gomez, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
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 27D2315683
Mountainside Medical · Stevensville, MTOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mountainside Medical, LLC's NPI number?
The NPI number for Mountainside Medical, LLC is 1487482543. It was assigned to this organization in the NPPES registry on July 22, 2024.
Where is Mountainside Medical, LLC located?
Mountainside Medical, LLC is located at 704 Main St, Stevensville, MT 59870. The listed phone number is (406) 303-9781.
What is Mountainside Medical, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Does Mountainside Medical, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 27D2315683) is associated with this NPI, valid through December 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Mountainside Medical, LLC accept?
Health plans from Blue Cross and Blue Shield of Montana list Mountainside Medical, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mountainside Medical, LLC was last updated on December 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
