Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Moccasin Mountain Health Clinic, Inc

Organization General Practice Physician · NPI 1053158766

Moccasin Mountain Health Clinic, Inc provides General Practice Physician services in Lewistown, Montana. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

629 NE Main St Ste 2
Lewistown, MT 59457-2082
Phone: (406) 321-2431
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1053158766
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randi Rath — Ceo · (406) 321-2431
NPI enumeratedJuly 10, 2024
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024
Mailing address920 6th Ave N, Lewistown, MT 59457-2125