Community Clinic

LBN: Fallon Medical Complex Inc
Community Clinic is an health care organization with primary practice located at 202 South 4Th Street West , Baker MT 59313-1119. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Fallon Medical Complex Inc can be contacted via phone (406) 778-2833, or through Nelson, Selena R via phone (406) 778-5103.

Contact Information

Primary practice address
202 South 4Th Street West Baker MT 59313-1119
Fax: (406) 778-5155
Website:
Authorized official contact:
Name: Nelson, Selena R

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1700895752
LBN Legal business name Fallon Medical Complex Inc
DBA Doing business as Community Clinic
Authorized official Nelson, Selena R
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700895752 NPPES
Montana MEDICAID 720369

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