MOUNTAIN INTERNAL MEDICINE
NPI 1689312449
Internal Medicine in Missoula, MT

Active since May 23, 2022CLIA 27D2272248 · Waiver
323 E FRONT ST, MISSOULA, MT 59802(406) 317-4800 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 25, 2023, Jul 8, 2022, May 23, 2022 (3 updates tracked since 2022).

About Mountain Internal Medicine NPPES

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

MOUNTAIN INTERNAL MEDICINE (NPI 1689312449) is a healthcare organization registered as an internal medicine in Missoula, Montana and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through November 15, 2026 and lists Sarah Faaborg, Partner, as its authorized official.

NPPES Registry Identity

NPI1689312449
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMOUNTAIN INTERNAL MEDICINE, PLLC
Location Address323 E FRONT STMissoula, MT 59802-4715
Mailing Address323 E Front StMissoula, MT 59802-4715 · (406) 317-4800 · Fax (406) 416-4800
Organization SubpartNo
Authorized OfficialSarah FaaborgPartner · (406) 579-3160
Enumeration DateMay 23, 2022
Last NPPES UpdateJanuary 25, 20233 updates tracked since enumeration
NPPES CertifiedDecember 6, 2022
NPI 1689312449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
323 E FRONT ST, Missoula, MT 59802

Other Names 1

Other NameMountain Internal Medicine

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 27D2272248

Mountain Internal Medicine · Missoula, MT
Active · expires Nov 15, 2026
CLIA Number27D2272248
Laboratory TypePhysician Office
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorMarnie Deschamps
Laboratory Phone(406) 317-4800
Laboratory LocationMountain Internal Medicine323 East Front Street, Missoula, MT 59802
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
323 E FRONT ST
MISSOULA, MT 59802
Nurse Practitioner (Gerontology)
323 E FRONT ST
MISSOULA, MT 59802

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 Mountain Internal Medicine, PLLC's NPI number?

The NPI number for Mountain Internal Medicine, PLLC is 1689312449. It was assigned to this organization in the NPPES registry on May 23, 2022. The provider is also known as Mountain Internal Medicine.

Where is Mountain Internal Medicine, PLLC located?

Mountain Internal Medicine, PLLC is located at 323 E Front St, Missoula, MT 59802. The listed phone number is (406) 317-4800.

What is Mountain Internal Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Mountain Internal Medicine, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 27D2272248) is associated with this NPI, valid through November 15, 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 Mountain Internal Medicine, PLLC was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.