Fallon Medical Complex Inc
Organization Active NPI Home Health Agency · Baker, MT
NPI 1003982935 · NPPES record last updated Feb 5, 2008
Key facts
- NPI
- 1003982935
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- FALLON MEDICAL COMPLEX INC
- Practice address
- 202 South 4TH Street West
Baker, MT 59313-0820 - Phone
- (406) 778-3331
- Fax
- (406) 778-5155
- NPI assigned
- Nov 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Selena R Nelson
- Title
- Cfo
- Phone
- (406) 778-5103
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- FMC Dba Community Clini
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/fallmed-8378dd67
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
202 South 4TH Street West
Baker, MT 59313-0820
Mailing address
PO Box 820
Baker, MT 59313-0820
Phone (406) 778-3331
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0660634 | Medicaid | MT | |
| 740194 | Medicaid | MT | |
| 4709614 | Medicaid | MT | |
| 30470 | Other | MT | BLUECROSS BLUESHIELD |
Other names
- FMC Home Care Services
Other providers in Baker, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.