Provider Demographics
NPI:1801969779
Name:ROCKY MOUNTAIN WOMEN'S HEALTH
Entity type:Organization
Organization Name:ROCKY MOUNTAIN WOMEN'S HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:D
Authorized Official - Last Name:MONTGOMERY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:406-549-0978
Mailing Address - Street 1:1211 S RESERVE ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59801-3101
Mailing Address - Country:US
Mailing Address - Phone:406-549-0978
Mailing Address - Fax:406-549-0987
Practice Address - Street 1:1211 S RESERVE ST
Practice Address - Street 2:SUITE 101
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-3101
Practice Address - Country:US
Practice Address - Phone:406-549-0978
Practice Address - Fax:406-549-0987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Multi-Specialty