MINERAL REGIONAL HEALTH CENTER INC. (NPI# 1073877742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073877742 |
| Entity Type | Organization |
| Organization Name | MINERAL REGIONAL HEALTH CENTER INC. |
| Practice Address |
1208 6th Ave Superior MT 59872-9618 |
| Mailing Address |
Po Box 698 Superior MT 59872-0698 |
| Practice Telephone | 4068224278 |
| Mailing Telephone | 4068224278 |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2013-07-01 |
| Authorized Official Name | MR. STEVEN D. CARTY (DIRECTOR) |
| Authorized Official Telephone | 4068224841 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | MEDICARE PTAN | M011002765 | 01 |
| Street Address |
1208 6TH AVE |
| City | SUPERIOR |
| State | MT |
| Zip Code | 59872-9618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548253131 | William Breck Howard | Radiology | 1208 6th Ave, Superior, MT 59872-9667 | 2005-08-30 |
| 1073080461 | Missoula Community Health Services, Inc | Clinic/Center | 1208 6th Ave, Superior, MT 59872-9667 | 2018-10-24 |
| 1477804060 | Nardy Stascavage | Registered Nurse | 1208 6th Ave, Superior, MT 59872-9618 | 2012-09-24 |
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578781639 | Lake Superior Community Health Center | Clinic/Center | 3600 Tower Avenue, Superior, WI 54880-5337 | 2007-04-23 |
| 1639684384 | Lake Superior Community Health Center | Clinic/Center | 1500 N 34th St Ste 200, Superior, WI 54880-4477 | 2017-12-04 |
| 1992183941 | Partnership Health Center Inc | Clinic/Center | 405 Brooklyn St, Superior, MT 59872-9607 | 2015-05-11 |
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| 1669081931 | Partnership Health Center Inc | Clinic/Center | 1720 Wyoming St Ste 201, Missoula, MT 59801-1526 | 2020-07-23 |
| 1336767789 | Confederated Salish & Kootenai Tribes of The Flathead Reservation | Clinic/Center | 35928 Joe Mcdonald Drive, Pablo, MT 59855 | 2020-07-13 |
| 1629696067 | Confederated Salish & Kootenai Tribes of The Flathead Reservation | Clinic/Center | 71972 Bitterroot Jim Road, Arlee, MT 59821 | 2020-07-13 |
| 1962020461 | Confederated Salish & Kootenai Tribes of The Flathead Reservation | Clinic/Center | #5 Fourth Ave East, Polson, MT 59860-2117 | 2020-07-10 |
| 1619595113 | Confederated Salish & Kootenai Tribes of The Flathead Reservation | Clinic/Center | 33116 Us Highway 93 North, Elmo, MT 59915-7707 | 2020-07-10 |
| 1750926762 | Partnership Health Center Inc | Clinic/Center | 901 S 6th St W, Missoula, MT 59801-3752 | 2019-11-13 |
| 1790275709 | Marias Healthcare Services Inc | Clinic/Center | 1 4th Ave Se, Conrad, MT 59425-2323 | 2018-05-15 |
| 1215436092 | Yellowstone City-county Health Department | Clinic/Center | 515 N 27th St, Billings, MT 59101 | 2018-02-07 |
| 1902305790 | Yellowstone City-county Health Department | Clinic/Center | 3005 1st Ave S, Billings, MT 59101 | 2018-02-07 |
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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.