MISSOULA COMMUNITY HEALTH SERVICES, INC (NPI# 1720136088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720136088 |
| Entity Type | Organization |
| Organization Name | MISSOULA COMMUNITY HEALTH SERVICES, INC |
| Other Organization Name | MINERAL COMMUNITY HOSPITAL |
| Practice Address |
1208 6th Ave Superior MT 59872-9618 |
| Mailing Address |
Po Box 66 Superior MT 59872-0066 |
| Practice Telephone | 4068224841 |
| Practice Fax Number | 4068224963 |
| Mailing Telephone | 4068224841 |
| Mailing Fax Number | 4068224963 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2019-04-05 |
| Authorized Official Name | MR. JOHN S MCNEECE (CEO) |
| Authorized Official Telephone | 4068224841 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 275051 | MT | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 310007 | 05 |
| Other Name | Type Code |
|---|---|
| Mineral Community Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073080461 | Missoula Community Health Services, Inc | Clinic/Center | 1208 6th Ave, Superior, MT 59872-9667 | 2018-10-24 |
| 1710165105 | Missoula Community Health Services, Inc | General Practice | 1208 6th Ave, Superior, MT 59872-9618 | 2008-02-07 |
| 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 |
| 1073877742 | Mineral Regional Health Center Inc. | Clinic/Center | 1208 6th Ave, Superior, MT 59872-9618 | 2012-06-27 |
| 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 |
| 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 | 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 |
|---|---|---|---|---|
| 1972710507 | St. Mary's Hospital of Superior | Medicare Defined Swing Bed Unit | 3500 Tower Ave, Superior, WI 54880-5335 | 2007-05-16 |
| 1699855023 | Brodstone Memorial Hospital | Medicare Defined Swing Bed Unit | 520 E 10th St, Superior, NE 68978-1225 | 2006-10-17 |
| 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 |
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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.