FALLON MEDICAL COMPLEX INC (NPI# 1316965346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316965346 |
| Entity Type | Organization |
| Organization Name | FALLON MEDICAL COMPLEX INC |
| Practice Address |
202 South 4th Street West Baker MT 59313-0820 |
| Mailing Address |
Po Box 820 202 South 4th Street West Baker MT 59313-0820 |
| Practice Telephone | 4067783331 |
| Practice Fax Number | 4067785155 |
| Mailing Telephone | 4067783331 |
| Mailing Fax Number | 4067785155 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2012-10-09 |
| Authorized Official Name | SELENA R NELSON (CFO) |
| Authorized Official Telephone | 4067785103 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
10663 | MT | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | CAH BLUE CROSS | 000060632 | 01 |
| MT | 0412360 | 05 |
| 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 |
| 1316013022 | Fallon Medical Complex Inc | Medicare Defined Swing Bed Unit | 202 South 4th Street West, Baker, MT 59313-0820 | 2006-11-27 |
| 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 |
| 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 |
| 1316013022 | Fallon Medical Complex Inc | Medicare Defined Swing Bed Unit | 202 South 4th Street West, Baker, MT 59313-0820 | 2006-11-27 |
| 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 |
| 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 | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1679941967 | Ruby Valley Hospital | General Acute Care Hospital | 220 E Crofoot Ln, Sheridan, MT 59749-7714 | 2015-09-03 |
| 1235302142 | Phs Indian Hospital | General Acute Care Hospital | 10110 South 7650 East Phs, Crow Northern Cheyenne Indian, Crow Agency, MT 59022 | 2008-04-11 |
| 1407076219 | Us Health Dept of Health & Human Services | General Acute Care Hospital | Pryor Gap Road, Pryor, MT 59066-0009 | 2007-04-26 |
| 1790803369 | Mccone County Health Center, Inc. | General Acute Care Hospital | 605 Sullivan Avenue, Circle, MT 59215 | 2007-03-26 |
| 1750410395 | U S Health Dept of Health & Human Services | General Acute Care Hospital | 418 Harding Street, Lodge Grass, MT 59050-0780 | 2007-03-02 |
| 1730216037 | Public Hospital District of Beaverhead County Db | General Acute Care Hospital | 30 Mt Hwy 91 South, Dillon, MT 59725-3597 | 2007-02-27 |
| 1548395197 | Mountainview Medical Center | General Acute Care Hospital | 16 West Main Street, White Sulphur Springs, MT 59645-0817 | 2007-02-23 |
| 1659433175 | Memorial Hospital Association | General Acute Care Hospital | 600 W 21st Street, Red Lodge, MT 59068-0590 | 2006-12-14 |
| 1144381054 | Memorial Hospital Association | General Acute Care Hospital | 600 West 21st Street, Red Lodge, MT 59068-0590 | 2006-12-13 |
| 1053488387 | Stillwater Hospital Association, Inc. | General Acute Care Hospital | 710 N 11th Street, Columbus, MT 59019-0959 | 2006-11-30 |
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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.