FALLON MEDICAL COMPLEX INC; NPI #1700895752

Contact Information

FALLON MEDICAL COMPLEX INC

202 SOUTH 4TH STREET WEST
BAKER, MT 59313-1119

Phone: 406-778-2833
Fax: 406-778-5155
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for FALLON MEDICAL COMPLEX INC

NPI Number 1700895752

LBN Legal business name FALLON MEDICAL COMPLEX INC

Authorized official SELENA NELSON - (CFO)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/07/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

Medicaid

720369

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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