FALLON MEDICAL COMPLEX INC (NPI# 1386700763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386700763 |
| Entity Type | Organization |
| Organization Name | FALLON MEDICAL COMPLEX INC |
| Other Organization Name | DBA COMMUNITY CLINIC |
| Practice Address |
202 South 4th Street West Baker MT 59313-1119 |
| Mailing Address |
Po Box 820 Baker MT 59313-0820 |
| Practice Telephone | 4067782833 |
| Practice Fax Number | 4067785155 |
| Mailing Telephone | 4067782833 |
| Mailing Fax Number | 4067785155 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-10-09 |
| Authorized Official Name | SELENA R NELSON (CFO) |
| Authorized Official Telephone | 4067785103 |
| Is Organization Subpart | Y |
| Parent Organization Name | FALLON MEDICAL COMPLEX INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC0050X |
Clinic/Center Specialization: Critical Access Hospital |
10662 | MT | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| dba Community Clinic | Doing Business As Name - 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 |
| 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 |
| 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 | 59313-1119 |
| 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 |
| 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 |
| 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 | 261QC0050X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Critical Access Hospital |
| An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174660245 | U S Health Dept of Health & Human Services | Clinic/Center | 453 Pine Grove Road, Hays, MT 59527-0620 | 2007-01-30 |
| 1801065396 | Dahl Memorial Healthcare Association Inc | Clinic/Center | 215 Sandy Street, Ekalaka, MT 59324-0046 | 2008-02-28 |
| 1932253093 | St John's Lutheran Hospital Physician's Services | Clinic/Center | 401 Louisiana Ave, Libby, MT 59923-2131 | 2007-01-23 |
| 1942367842 | U S Health Dept of Health & Human Services | Clinic/Center | 669 Agency Main St, Harlem, MT 59526-9455 | 2007-01-02 |
| 1699845958 | Sidney Health Center | Clinic/Center | 216 14th Ave Sw, Sidney, MT 59270-3519 | 2006-11-08 |
| 1033129622 | Glendive Medical Center, Inc | Clinic/Center | 202 Prospect Dr, Glendive, MT 59330-1943 | 2006-08-08 |
Please comment or provide details below to improve the information on FALLON MEDICAL COMPLEX INC.
| 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.