NPIMap

Organization Active NPI

Partnership Health Center Inc

Doing business as PHC Watershed

  • Federally Qualified Health Center (FQHC)
  • Missoula, MT
National Provider Identifier
1013623248
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PARTNERSHIP HEALTH CENTER INC
Doing business as
PHC Watershed
Practice address
2200 Mullan Rd Ste a
Missoula, MT 59808-2059
Phone
(406) 258-4496
Fax
(406) 258-4732
NPI assigned
Jan 31, 2023
Last updated
Jun 11, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PARTNERSHIP HEALTH CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bryan Chalmers
Title
Cfo
Phone
(406) 258-4445

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

2200 Mullan Rd Ste a
Missoula, MT 59808-2059

Mailing address

401 Railroad St W
Missoula, MT 59802-4178
Phone (406) 258-4122

Other names 1

  • PHC Watershed Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240717004801 MT Part A Provider - Federally Qualified Health Center (FQHC) 6103843479 Practice locations: Missoula, MT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013623248. Details of each certification follow.

Federally qualified health center certification: CCN 271016

Legal name
PARTNERSHIP HEALTH CENTER INC
Doing business as
PHC WATERSHED
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 6, 2024
Last certification
Aug 6, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 1, 1992 in MT
Enrollment address
2200 Mullan Rd
Ste a
Missoula, MT 59808-2059

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 14

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D2278971Partnership Health Center / Trinity2200 Mullan Rd, Missoula, MT 59808Provider-performed microscopyMar 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
Partnership Health Ctr18 organizations share this tax ID, including this one
Part of
Partnership Health Ctr

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kathleen Walters Individual Corporate DirectorBoard Member Jul 1, 2013
Jay Raines Individual Corporate DirectorBoard Member Jan 1, 2024
Bryan William Chalmers Individual Corporate OfficerCfo Dec 16, 2019
Mark Thane Individual Corporate DirectorBoard Member Oct 1, 2019
Patricia Kero Individual Corporate DirectorBoard Member Nov 1, 2021
Jeffrey Weist Individual Corporate DirectorBoard Member Mar 1, 2020
Lara Salazar Individual Corporate OfficerCeo Oct 3, 2022 5%
Joseph Melvin Individual Corporate DirectorBoard Member Jan 1, 2019
Andrea Green Individual Corporate DirectorBoard Member Mar 1, 2021
Natalie Wolfram Individual Corporate DirectorBoard Member Oct 1, 2018
Holly Blaylock Individual W-2 Managing EmployeeRevenue Cycle Manager Jul 6, 2015
Karen Myers Individual Corporate DirectorBoard Member Sep 1, 2019
Dawn Briggs Individual W-2 Managing EmployeeBilling Manager Apr 14, 2003
David Strohmaier Individual Corporate DirectorBoard Member Jul 1, 2019
John Crawford Individual Corporate DirectorBoard Member Feb 1, 2016
Jilayne Dunn Individual Corporate DirectorBoard Member Dec 1, 2013

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1013623248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 RAILROAD ST W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024178",
            "telephone_number": "406-258-4122",
            "fax_number": "406-258-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 MULLAN RD STE A",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598082059",
            "telephone_number": "406-258-4496",
            "fax_number": "406-258-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERSHIP HEALTH CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARTNERSHIP HEALTH CENTER INC",
        "enumeration_date": "2023-01-31",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "CHALMERS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "406-258-4445"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHC Watershed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.