Origin Health LLC

NPI #1104700897 in Missoula, Montana

Provider Information

NPI Number
1104700897
Entity Type
Organization
Organization Name
Origin Health LLC
Subpart
Yes (part of a larger organization)
Parent Organization
ORIGIN HEALTH LLC
Primary Specialty
Clinic/Center - Birthing
Enumeration Date
Aug 5, 2025
Last Updated
Aug 5, 2025

Practice Location

Address
2831 FORT MISSOUA ROAD
Address 2
SUITE 102
State
Montana
ZIP Code
59804
Phone
(406) 523-5650

Authorized Official

Name
MERLIN BARDETT FAUSETT, MD
Title
OWNER/PRESIDENT
Phone
(406) 523-5650

Specialties & Taxonomy Codes

Specialty
Clinic/Center - BirthingBirthing

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