MONTANA GASTROENTEROLOGY, PLLC
NPI 1821612946
Clinic/Center in Missoula, MT

Active since June 04, 2020CLIA 27D2267430 · Certificate of Compliance
1930 W BROADWAY, STE A, MISSOULA, MT 59808(406) 541-6844(406) 541-6843 Get Directions Write a Review

NPPES record last updated: August 9, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 9, 2021, Jun 4, 2020 (2 updates tracked since 2020).

  • Organization
  • Clinic/Center
  • Accepts Insurance
  • CLIA Number: 27D2267430
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 02-08-2027

About MONTANA GASTROENTEROLOGY, PLLC

This page provides the complete NPI Profile along with additional information for Montana Gastroenterology, Pllc, a provider established in Missoula, Montana operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1821612946 assigned on June 2020. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Robert Mccarville (Authorized Official)

NPI
1821612946 Verify this NPI
Provider Name
MONTANA GASTROENTEROLOGY, PLLC
Entity Type
Organization
Location Address
1930 W BROADWAY STE A MISSOULA, MT 59808
Location Phone
(406) 541-6844
Location Fax
(406) 541-6843
Mailing Address
2808 S INGRAM MILL RD BLDG B SPRINGFIELD, MO 65804
Mailing Phone
(417) 889-2040
Mailing Fax
(417) 719-7896
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-04-2020
Last Update Date
08-09-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Focus Bronze POS? 205 - POS
  • Blue Focus Bronze POS? 705 - POS
  • Blue Focus Bronze POS? Standard - POS
  • Blue Focus Gold POS? 207 - POS
  • Blue Focus Gold POS? 902 - POS
  • Blue Focus Gold POS? Standard - POS
  • Blue Focus Silver POS? 206 - POS
  • Blue Focus Silver POS? 903 - POS
  • Blue Focus Silver POS? Standard - POS
  • Blue Preferred Bronze PPO? 201 - PPO
  • Blue Preferred Bronze PPO? 202 - PPO
  • Blue Preferred Bronze PPO? Standard - PPO
  • Blue Preferred Gold PPO? 204 - PPO
  • Blue Preferred Gold PPO? 901 - PPO
  • Blue Preferred Gold PPO? Standard - PPO
  • Blue Preferred Security PPO? 200 - PPO
  • Blue Preferred Silver PPO? 203 - PPO
  • Blue Preferred Silver PPO? 308 - PPO
  • Blue Preferred Silver PPO? Standard - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROBERT MCCARVILLE

Authorized Official Title
AUTHORIZED OFFICIAL
Authorized Official Phone
(417) 889-2040

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
27D2267430
Facility Type
Community Clinic
Certificate Effective Date
February 09, 2025
Certificate Expiration Date
February 08, 2027
Laboratory Director
ROCKY J. ADAMS
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Montana Gastroenterology, Pllc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for MONTANA GASTROENTEROLOGY, PLLC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Ambulatory Surgical)
1930 W BROADWAY, STE B
MISSOULA, MT 59808

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821612946, enumerated as an "organization" on June 04, 2020.

The provider is located at 1930 W BROADWAY STE A MISSOULA, MT 59808 and the phone number is (406) 541-6844.

Clinic/Center with taxonomy code 261Q00000X.

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