Clark Fork Healthcare, LLC
NPI 1962042754ActiveOrganization· Hospice Care, Community Based· Missoula, MT
Hospice Care, Community Based in Missoula, Montana, registered in NPPES in January 2020. The authorized official on file is Amber Tueller, Secretary. Enrolled in Medicare as part a provider - hospice.
Overview
| NPI | 1962042754 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 9, 2020 |
| Last updated in NPPES | Apr 17, 2025 |
| Certified by provider | Apr 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Hospice Care, Community Based Primary | 251G00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Hospice (MT) |
|---|
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