Fallon Medical Complex Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

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

Aug 8, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Selena R Nelson

Title

Cfo

Phone

(406) 778-5103

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Fallon Memorial Nursing Home Other name

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Fallon Medical Complex Inc

  • Critical Access Hospital
  • Baker, MT
  • NPI 1316965346

  Member Of

  NPD member

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083624639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820",
            "address_2": "202 SOUTH 4TH STREET WEST",
            "city": "BAKER",
            "state": "MT",
            "postal_code": "593130820",
            "telephone_number": "406-778-3331",
            "fax_number": "406-778-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 SOUTH 4TH STREET WEST",
            "city": "BAKER",
            "state": "MT",
            "postal_code": "593130820",
            "telephone_number": "406-778-3331",
            "fax_number": "406-778-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLON MEDICAL COMPLEX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "SELENA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "406-778-5103"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS SNF",
            "identifier": "0000040012",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "315224",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fallon Memorial Nursing Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• County of Fallon (Fallon County Ambulance Service)
• County of Fallon
• Darryl M Espeland, DO
• Fallon Medical Complex Inc (FMC Home Care Services)
• Fallon Medical Complex Inc
• Fallon Medical Complex Inc
• Fallon Medical Complex Inc
• Fallon Medical Complex Inc (dba Community Clinic)
• Fallon Medical Complex Inc
• Fallon Medical Complex Inc (Community Clinic)

• Skilled Nursing Facility in Baker, MT
• Providers in Baker, MT by specialty
• Skilled Nursing Facility in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.