Active NPI
Mineral Regional Health Center, Inc.
- Federally Qualified Health Center (FQHC)
- De Borgia, MT
National Provider Identifier
1093070088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- MINERAL REGIONAL HEALTH CENTER, INC.
- Practice address
- 9 Frontage Road
Deborgia, MT 59830 - Phone
- (406) 822-4278
- NPI assigned
- Jul 6, 2012
- Last updated
- Nov 27, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Steven D. Carty
- Title
- Director
- Phone
- (406) 822-4278
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
9 Frontage Road
Deborgia, MT 59830
Mailing address
PO Box 698
Superior, MT 59872-0698
Phone (406) 822-4278
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1093070088. Details of each certification follow.
Federally qualified health center certification: CCN 271848
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- MINERAL REGIONAL HEALTH CTR INC DEBORGIA CLINIC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Nov 29, 2012
- Last certification
- Nov 29, 2012
- Ownership / control type
- For profit – corporation
- Facility address
- 9 Frontage Road
De Borgia, MT 59830
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1353974400000",
"number": "1093070088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 698",
"city": "SUPERIOR",
"state": "MT",
"postal_code": "598720698",
"telephone_number": "406-822-4278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 FRONTAGE ROAD",
"city": "DEBORGIA",
"state": "MT",
"postal_code": "59830",
"telephone_number": "406-822-4278"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINERAL REGIONAL HEALTH CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-06",
"last_updated": "2012-11-27",
"status": "A",
"authorized_official_last_name": "CARTY",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "406-822-4278",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in De Borgia, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.