COMMUNITY MEDICAL CENTER INC (NPI# 1629154836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629154836 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEDICAL CENTER INC |
| Other Organization Name | MONTANA PAIN INSTITUTE |
| Practice Address |
2835 Fort Missoula Rd Suite 204 Missoula MT 59804-7423 |
| Mailing Address |
Po Box 16900 Missoula MT 59808-6900 |
| Practice Telephone | 4063273935 |
| Mailing Telephone | 4063273935 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CYNTHIA WHITE (VP PHYSICIAN SERVICES) |
| Authorized Official Telephone | 4063274294 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Montana Pain Institute | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851691208 | Community Medical Center Inc | Pharmacy | 2835 Fort Missoula Rd, Missoula, MT 59804-7423 | 2010-11-01 |
| 1245408699 | Community Medical Center Inc | General Acute Care Hospital | 99 Highway 37 W, Toms River, NJ 08755-6423 | 2008-02-19 |
| 1457437667 | Community Medical Center Inc | Specialist | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2006-10-31 |
| 1356427561 | Community Medical Center Inc | Specialist | 2835 Fort Missoula Rd, Suite 301, Missoula, MT 59804-7423 | 2006-10-31 |
| 1174609382 | Community Medical Center Inc | Specialist | 2835 Fort Missoula Rd, Suite 102, Missoula, MT 59804-7423 | 2006-10-31 |
| 1083790299 | Community Medical Center Inc | Specialist | 2618 South Ave W, Missoula, MT 59804-6406 | 2006-10-31 |
| 1548341407 | Community Medical Center Inc | Specialist | 2835 Fort Missoula Rd, Suite 303, Missoula, MT 59804-7423 | 2006-10-18 |
| 1548341498 | Community Medical Center Inc | Specialist | 2831 Fort Missoula Rd, Suite 131, Missoula, MT 59804-7419 | 2006-10-18 |
| 1073602090 | Community Medical Center Inc | Specialist | 2827 Fort Missoula Rd, Suite 130, Missoula, MT 59804-7408 | 2006-10-11 |
| 1730277286 | Community Medical Center Inc | Skilled Nursing Facility | 99 Route 37 W, Toms River, NJ 08755-6423 | 2006-10-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Community Medical Center Inc. | 306 A Custis Street, Crewe, Virginia 23930 |
| Street Address |
2835 FORT MISSOULA RD SUITE 204 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59804-7423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053304378 | Troy Dennis Warling | Nurse Practitioner | 2835 Fort Missoula Rd, Physician Center 3, Suite 204, Missoula, MT 59804-7423 | 2005-08-23 |
| 1255852232 | Montana Women's Healthcare, LLC | Obstetrics & Gynecology | 2835 Fort Missoula Rd, Suite 202, Missoula, MT 59804-7423 | 2017-06-29 |
| 1881050466 | Polly Becker | Social Worker | 2835 Fort Missoula Rd, Pediatric Specialty Clinic, Missoula, MT 59804-7423 | 2016-01-12 |
| 1366824930 | Scott C Wyman Md PC | Obstetrics & Gynecology | 2835 Fort Missoula Rd, Suite 202, Missoula, MT 59804-7423 | 2015-06-19 |
| 1588062509 | Rchp Billings - Missoula LLC | Pharmacy | 2835 Fort Missoula Rd, Missoula, MT 59804-7423 | 2014-12-08 |
| 1497185722 | Katelyn Stetzner | Registered Nurse | 2835 Fort Missoula Rd, Suite 102, Missoula, MT 59804-7423 | 2013-11-22 |
| 1639417041 | Tiffany Michelle Ford | Nurse Practitioner | 2835 Fort Missoula Rd, Physician Center # 3, Missoula, MT 59804-7423 | 2013-01-18 |
| 1598018939 | Catherine Charlagne Capps | Specialist | 2835 Fort Missoula Rd, Ste 203, Missoula, MT 59804-7423 | 2012-10-23 |
| 1205117785 | Ryan Barrett | Nurse Practitioner | 2835 Fort Missoula Rd, Missoula, MT 59804-7423 | 2011-08-29 |
| 1851691208 | Community Medical Center Inc | Pharmacy | 2835 Fort Missoula Rd, Missoula, MT 59804-7423 | 2010-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019297 | Momentum Speech Therapy, PC | Speech-Language Pathologist | 9885 O'brien Creek Road, Missoula, MT 59804 | 2020-10-01 |
| 1033633037 | Marissa Clark | Genetic Counselor, MS | 2827 Fort Missoula Rd., Suite 317, Missoula, MT 59804 | 2017-08-01 |
| 1104295245 | Scott Richter | Specialist/Technologist | 2892 Ringo Dr, Missoula, MT 59804 | 2015-09-18 |
| 1467860353 | Zachary Ueland | Pharmacist | 4000 Highway 93 South, Missoula, MT 59804 | 2014-07-24 |
| 1316378185 | Tracy Laurel Brothers | Counselor | 1305 Wyoming Street, Missoula, MT 59804 | 2013-12-04 |
| 1447683651 | Granite Pharmacy Missoula, LLC | Durable Medical Equipment & Medical Supplies | 2230 27th Ave. West, Suite 2, Missoula, MT 59804 | 2013-08-12 |
| 1871843953 | Autum Emerson Howell | Nurse Practitioner | 2831 Ft. Missoula Rd. Bldg 2, 102, Missoula, MT 59804 | 2012-09-14 |
| 1821353939 | Carlyn Doyle | Nurse Practitioner | 2835 Fort Missoula Rd Ste 203, Missoula, MT 59804 | 2012-07-05 |
| 1396011961 | Patricia Jean Evans | Internal Medicine | 702 S.w. Higgins, First Choice Medical Clinic, Missoula, MT 59804 | 2012-03-28 |
| 1205126794 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 2732 South Ave West, Suite 202, Missoula, MT 59804 | 2011-04-18 |
| Find all providers in zip 59804 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215549829 | Jolyn Ortega | Specialist | 2539 Granary Rd, Missoula, MT 59808-8748 | 2020-08-17 |
| 1629609219 | Montana Yoga Therapy | Specialist | 2825 Stockyard Rd Ste H3, Missoula, MT 59808-1507 | 2020-02-01 |
| 1841775772 | Elli Marie Matkin | Specialist | 210 N Higgins Ave Ste 220, Missoula, MT 59802-4443 | 2018-09-26 |
| 1407361736 | Mothers' Milk Bank of Montana | Specialist | 2825 Stockyard Rd Ste C1, Missoula, MT 59808-1502 | 2017-12-08 |
| 1952700213 | Barbara Ann Balko | Specialist | 4825 Lower Miller Creek Rd, Missoula, MT 59803-9718 | 2014-08-21 |
| 1831421296 | Melissa Wardlow | Specialist | 211 N Higgins Ave Ste 403, Missoula, MT 59802-4488 | 2010-02-09 |
| 1912132481 | Michelle Marlene Mcclain | Specialist | 2409 Dearborn Ave Ste I, Missoula, MT 59801-7586 | 2009-05-27 |
| 1194964346 | Erin E Williams | Specialist | 515 S Reserve St Ste 5, Missoula, MT 59801-2125 | 2009-02-11 |
| 1225280001 | Bradford Walker Mcmullin | Specialist | 2525 Humble Rd, Missoula, MT 59804-6149 | 2008-10-13 |
| 1912127770 | Gwen Farnsworth | Specialist | 30 Fort Missoula # 10, Missoula, MT 59804-7203 | 2007-04-26 |
| Find all providers in MISSOULA | ||||
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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.