Unknown Individual – Family Medicine Physician, NPI 1164539722

Unknown Individual is a healthcare provider. based in Thompson falls, Montana. specializing in Family Medicine Physician. They hold a License No. 3502 (MT). The NPI Number for Unknown Individual is 1164539722

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1164539722
Phone
(406) 826-4816
Address
120 POND RD
Deactivation Date
6 February 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 120 POND RD

    THOMPSON FALLS, MT 59873

    Phone: (406) 826-4816

    Fax: (406) 826-4898

    Type: Location

  • Clark Fork Valley Hospital, 10, Kruger Road, Plains, Sanders County, Montana, 59859, United States

    PLAINS, MT 598599506

    Phone: (406) 826-4816

    Fax: (406) 826-4898

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 59873)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1164539722.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Thompson Falls, Montana for Unknown Individual; expand the address list for detail.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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