FIVE VALLEYS UROLOGY
NPI 1720067705
Urology in Missoula, MT

Q: What is Five Valleys Urology's NPI number?

The NPI number for Five Valleys Urology is 1720067705. It was assigned to this organization in the NPPES registry on January 10, 2006.

Q: What is Five Valleys Urology's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since January 10, 2006CLIA 27D0707089 · Certificate of Compliance

2875 TINA, SUITE 101, MISSOULA, MT 59808(406) 728-3366(406) 329-2896 Get Directions Write a Review

NPPES record last updated: April 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Five Valleys Urology NPPES

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

FIVE VALLEYS UROLOGY (NPI 1720067705) is a healthcare organization registered as an urology in Missoula, Montana and active in the NPI registry since January 2006. The organization holds a CLIA Certificate of Compliance certificate valid through September 13, 2027 and lists John Terry O'connor, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1720067705

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameFIVE VALLEYS UROLOGY

Location Address2875 TINA, SUITE 101Missoula, MT 59808-1308

Mailing Address2875 Tina Ave, Suite 101Missoula, MT 59808 · (406) 728-3366 · Fax (406) 329-2896

Phone(406) 728-3366

Fax(406) 329-2896

Organization SubpartNo

Authorized OfficialJohn Terry O'connorPractice Administrator · (406) 728-3366

Enumeration DateJanuary 10, 2006

Last NPPES UpdateApril 21, 2011

✔ NPI 1720067705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

2875 TINA, Missoula, MT 59808

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Other Identifiers 1

Medicare NSC6221290001MT

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.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 Compliance 27D0707089

Five Valleys Urology · Missoula, MT

Active · expires Sep 13, 2027

CLIA Number27D0707089

Laboratory TypePhysician Office

Certificate Effective DateSeptember 14, 2025

Certificate Expiration DateSeptember 13, 2027

Laboratory DirectorDr. Brian N. Kelly

Laboratory Phone(406) 728-3366

Laboratory LocationFive Valleys Urology2875 Tina Avenue Suite 101, Missoula, MT 59808

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Five Valleys Urology's NPI number?

The NPI number for Five Valleys Urology is 1720067705. It was assigned to this organization in the NPPES registry on January 10, 2006.

Where is Five Valleys Urology located?

Five Valleys Urology is located at 2875 Tina Suite 101, Missoula, MT 59808. The listed phone number is (406) 728-3366.

What is Five Valleys Urology's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Five Valleys Urology hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 27D0707089) is associated with this NPI, valid through September 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Five Valleys Urology accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 36 other insurers list Five Valleys Urology 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 Five Valleys Urology was last updated on April 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.