MISSOULA COMMUNITY HEALTH SERVICES, INC (NPI# 1073080461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073080461 |
| Entity Type | Organization |
| Organization Name | MISSOULA COMMUNITY HEALTH SERVICES, INC |
| Other Organization Name | MINERAL COMMUNITY HOSPITAL CLINIC |
| Practice Address |
1208 6th Ave Superior MT 59872-9667 |
| Mailing Address |
Po Box 66 Superior MT 59872-0066 |
| Practice Telephone | 4068224841 |
| Mailing Telephone | 4068224841 |
| Mailing Fax Number | 4068224963 |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2019-04-05 |
| Authorized Official Name | MR. JOHN S MCNEECE (CEO) |
| Authorized Official Telephone | 4068224841 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mineral Community Hospital Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710165105 | Missoula Community Health Services, Inc | General Practice | 1208 6th Ave, Superior, MT 59872-9618 | 2008-02-07 |
| 1720136088 | Missoula Community Health Services, Inc | Medicare Defined Swing Bed Unit | 1208 6th Ave, Superior, MT 59872-9618 | 2007-01-05 |
| Street Address |
1208 6TH AVE |
| City | SUPERIOR |
| State | MT |
| Zip Code | 59872-9667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548253131 | William Breck Howard | Radiology | 1208 6th Ave, Superior, MT 59872-9667 | 2005-08-30 |
| 1477804060 | Nardy Stascavage | Registered Nurse | 1208 6th Ave, Superior, MT 59872-9618 | 2012-09-24 |
| 1073877742 | Mineral Regional Health Center Inc. | Clinic/Center | 1208 6th Ave, Superior, MT 59872-9618 | 2012-06-27 |
| 1902063688 | Providence Health & Services Mt | Internal Medicine | 1208 6th Ave, Superior, MT 59872-9618 | 2008-05-20 |
| 1710165105 | Missoula Community Health Services, Inc | General Practice | 1208 6th Ave, Superior, MT 59872-9618 | 2008-02-07 |
| 1720136088 | Missoula Community Health Services, Inc | Medicare Defined Swing Bed Unit | 1208 6th Ave, Superior, MT 59872-9618 | 2007-01-05 |
| 1093809196 | Missoula Community Health Services, Inc. | General Acute Care Hospital | 1208 6th Ave, Superior, MT 59872-9618 | 2006-10-03 |
| 1831290683 | Karyn Thornton | Physician Assistant | 1208 6th Ave, Superior, MT 59872-9618 | 2006-09-26 |
| 1154334712 | Laurel G. Chambers | Physician Assistant | 1208 6th Ave, Superior, MT 59872-9618 | 2006-08-14 |
| 1124031786 | Ernesto E. Ornelas | Nurse Practitioner | 1208 6th Ave, Superior, MT 59872-9618 | 2006-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265943237 | Tyler Quintinn Steinebach | Emergency Medical Technician, Intermediate | 502 Main Avenue, Superior, MT 59872 | 2017-10-18 |
| 1386160976 | Leann Joyce Anderson | Counselor | 304 4th Ave E, Superior, MT 59872 | 2017-08-16 |
| 1386043289 | Charles D. Avery | Massage Therapist | 120 Second Ave E., Superior, MT 59872 | 2014-08-15 |
| 1811208929 | Brenda Kh Reynolds | Massage Therapist | 400 Tami Dr E, Superior, MT 59872 | 2010-06-24 |
| 1588852578 | Superior Elementary School | Community Based Residential Treatment Facility, Mental Illness | 1003 5th Avenue East, Superior, MT 59872 | 2007-10-04 |
| 1285702670 | Dana W Austin | Physical Therapist | 406 2nd Avenue East, Superior, MT 59872 | 2006-12-01 |
| 1508877291 | Victor Labarre Stampley | Social Worker | 405 Brooklyn Avenue, Superior, MT 59872 | 2006-08-10 |
| 1235178906 | Superior Volunteer Fire Company Inc | Ambulance | 310 River St, Superior, MT 59872 | 2006-06-06 |
| 1376637470 | Missoula Community Health Services, Inc. | Family Medicine | 1208 6th Ave E, Superior, MT 59872 | 2006-10-03 |
| 1578823589 | Stewart Andrew Mccracken | Counselor | 491 Shaw Gulch Ln, Superior, MT 59872-0124 | 2012-05-23 |
| Find all providers in zip 59872 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
| 1427110824 | The Duluth Clinic, Ltd | Clinic/Center | 3500 Tower Ave, Superior, WI 54880-5335 | 2006-12-14 |
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| 1801273636 | East Slope Family Practice Pllc | Clinic/Center | 900 6th St Sw Ste 2, Great Falls, MT 59404-3207 | 2015-04-30 |
| 1912308578 | Wyscriptz LLC | Clinic/Center | 2120 S Reserve St Ste 109, Missoula, MT 59801-6451 | 2014-09-12 |
| 1356667216 | Applied Health Services Inc | Clinic/Center | 102 13th Ave E, Polson, MT 59860-3513 | 2010-04-15 |
| 1952568685 | Western Montana Clinic PC | Clinic/Center | 6 13th Ave E Ste 1, Polson, MT 59860-5315 | 2008-05-20 |
| 1356518567 | Western Montana Clinic PC | Clinic/Center | 210 Sunnyview Ln Ste 4, Kalispell, MT 59901-3128 | 2008-05-15 |
| 1104857077 | St. Vincent Healthcare | Clinic/Center | Palliative Care Services, 1233 North 30th St, Billings, MT 59101 | 2006-07-06 |
| 1548215676 | Kalispell Regional Medical Center Inc | Clinic/Center | 298 Osloski Rd, Eureka, MT 59917-9058 | 2006-05-24 |
| 1841897659 | Community Counseling and Correctional Services Inc | Clinic/Center | 471 E Mercury St, Butte, MT 59701-1906 | 2020-10-05 |
| 1710503099 | Sentinel Healthcare LLC | Clinic/Center | 1900 S Reserve St, Missoula, MT 59801-6455 | 2020-06-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.