FALLON MEDICAL COMPLEX INC (NPI# 1316013022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316013022 |
| Entity Type | Organization |
| Organization Name | FALLON MEDICAL COMPLEX INC |
| Other Organization Name | FMC SWING BED UNIT |
| Practice Address |
202 South 4th Street West Baker MT 59313-0820 |
| Mailing Address |
Po Box 820 Baker MT 59313-0820 |
| Practice Telephone | 4067785105 |
| Practice Fax Number | 4067785155 |
| Mailing Telephone | 4067785103 |
| Mailing Fax Number | 4067785155 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2020-07-24 |
| Authorized Official Name | MARJORIE LOSING (CFO) |
| Authorized Official Telephone | 4067785303 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 3100526 | 05 |
| Other Name | Type Code |
|---|---|
| FMC Swing Bed Unit | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043229776 | Fallon Medical Complex Inc | Clinic/Center | 710 Drake Street, Wibaux, MT 59353 | 2006-08-05 |
| 1689894800 | Fallon Medical Complex Inc | Durable Medical Equipment & Medical Supplies | 202 South 4th Street West, Baker, MT 59313-0820 | 2007-04-27 |
| 1023174521 | Fallon Medical Complex Inc | Clinical Medical Laboratory | 202 South 4th Street West, Baker, MT 59313-0820 | 2006-12-29 |
| 1386700763 | Fallon Medical Complex Inc | Clinic/Center | 202 South 4th Street West, Baker, MT 59313-1119 | 2006-12-29 |
| 1003982935 | Fallon Medical Complex Inc | Home Health | 202 South 4th Street West, Baker, MT 59313-0820 | 2006-11-24 |
| 1083624639 | Fallon Medical Complex Inc | Skilled Nursing Facility | 202 South 4th Street West, Baker, MT 59313-0820 | 2006-08-08 |
| 1700895752 | Fallon Medical Complex Inc | Clinic/Center | 202 South 4th Street West, Baker, MT 59313-1119 | 2006-08-07 |
| 1316965346 | Fallon Medical Complex Inc | General Acute Care Hospital | 202 South 4th Street West, Baker, MT 59313-0820 | 2006-07-17 |
| Street Address |
202 SOUTH 4TH STREET WEST |
| City | BAKER |
| State | MT |
| Zip Code | 59313-0820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093745572 | Darryl M Espeland | General Practice | 202 South 4th Street West, Baker, MT 59313-1119 | 2006-07-03 |
| 1235303801 | Dominick Peter Trivisonno | General Practice | 202 South 4th Street West, Baker, MT 59313-1119 | 2008-04-15 |
| 1689894800 | Fallon Medical Complex Inc | Durable Medical Equipment & Medical Supplies | 202 South 4th Street West, Baker, MT 59313-0820 | 2007-04-27 |
| 1194881698 | Fallon Medical Complex, Inc | Clinic/Center | 202 South 4th Street West, Baker, MT 59313-0820 | 2006-12-29 |
| 1023174521 | Fallon Medical Complex Inc | Clinical Medical Laboratory | 202 South 4th Street West, Baker, MT 59313-0820 | 2006-12-29 |
| 1861558330 | Fallon Medical Complex, Inc | Clinic/Center | 202 South 4th Street West, Baker, MT 59313-0820 | 2006-12-29 |
| 1386700763 | Fallon Medical Complex Inc | Clinic/Center | 202 South 4th Street West, Baker, MT 59313-1119 | 2006-12-29 |
| 1003982935 | Fallon Medical Complex Inc | Home Health | 202 South 4th Street West, Baker, MT 59313-0820 | 2006-11-24 |
| 1083624639 | Fallon Medical Complex Inc | Skilled Nursing Facility | 202 South 4th Street West, Baker, MT 59313-0820 | 2006-08-08 |
| 1700895752 | Fallon Medical Complex Inc | Clinic/Center | 202 South 4th Street West, Baker, MT 59313-1119 | 2006-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336293547 | James R Campbell Jr. | Dentist | 202 S 4th St W, Baker, MT 59313 | 2007-01-23 |
| 1871613703 | Todd Overton | Pharmacist | 103 South Main, Baker, MT 59313 | 2007-04-02 |
| 1598885410 | Eric S Sonsalla | Pharmacist | 103 South Main, Baker, MT 59313 | 2007-04-02 |
| 1508945502 | Baker Drug Co | Durable Medical Equipment & Medical Supplies | 103 S Main St, Baker, MT 59313 | 2006-11-02 |
| 1548314438 | Baker Drug Company | Pharmacy | 103 South Main, Baker, MT 59313-0459 | 2007-01-22 |
| 1073689915 | County of Fallon | Ambulance | 9 West Fallon Avenue, Baker, MT 59313-0638 | 2006-11-24 |
| 1902089550 | County of Fallon | Public Health or Welfare | 205 S 4th Street W, Baker, MT 59313-0820 | 2007-12-06 |
| 1700987690 | Gerald Elmo Gamrath | Pharmacist | 21 South Main, Baker, MT 59313-1018 | 2006-09-26 |
| 1134290950 | Gerald Gamrath | Durable Medical Equipment & Medical Supplies | 21 South Main Street, Baker, MT 59313-1518 | 2006-11-13 |
| 1134746605 | Baker Drug LLC | Durable Medical Equipment & Medical Supplies | 103 S Main St, Baker, MT 59313-9013 | 2020-07-01 |
| Find all providers in zip 59313 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902925472 | Rosebud Community Hospital, Inc | Medicare Defined Swing Bed Unit | 383 17th Ave N, Forsyth, MT 59327 | 2007-03-28 |
| 1922160431 | Stillwater Hospital Association, Inc. | Medicare Defined Swing Bed Unit | 44 West 4th Ave. North, Columbus, MT 59019-0959 | 2006-12-14 |
| 1720160278 | Big Sandy Medical Center Inc | Medicare Defined Swing Bed Unit | 166 Montana Ave East, Big Sandy, MT 59520-0530 | 2006-10-20 |
| 1457441651 | Big Horn Hospital Association | Medicare Defined Swing Bed Unit | 17 N Miles Ave, Hardin, MT 59034-2323 | 2006-10-16 |
| 1285736546 | Roundup Memorial Hospital Association | Medicare Defined Swing Bed Unit | 1202 3rd St W, Roundup, MT 59072-1816 | 2006-09-05 |
| 1053381483 | County of Garfield | Medicare Defined Swing Bed Unit | 332 Leavitt Ave, Jordan, MT 59337 | 2006-01-26 |
| 1346224391 | Daniels Memorial Hospital Association | Medicare Defined Swing Bed Unit | 105 5th Ave E, Scobey, MT 59263 | 2005-12-02 |
| 1093228546 | Townsend Health Systems, Inc. | Medicare Defined Swing Bed Unit | 110 N Oak St, Townsend, MT 59644-2306 | 2017-11-07 |
| 1396074548 | Holy Rosary Healthcare | Medicare Defined Swing Bed Unit | 2600 Wilson St, Miles City, MT 59301-5016 | 2009-12-17 |
| 1568629764 | Community Hospital of Anaconda | Medicare Defined Swing Bed Unit | 401 W Pennsylvania St, Anaconda, MT 59711-1931 | 2008-05-16 |
| Find all providers with the same taxonomy | ||||
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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.