Missoula Community Health Services, Inc.

Primary specialty

Rural Acute Care HospitalTaxonomy code 282NR1301X

License

10034 Issued in MT

Legal business name

MISSOULA COMMUNITY HEALTH SERVICES, INC.

Practice address

1208 6TH Ave
Superior, MT 59872-9618

Phone

(406) 822-4841

Fax

(406) 822-4963

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John S McNeece

Title

Ceo

Phone

(406) 822-4841

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mineral Community Hospital Doing business as

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Missoula Community Health Services, Inc

  • Multi-Specialty Clinic/Center
  • Superior, MT
  • NPI 1073080461

  O20031114000597

  Same enrollment
• Missoula Community Health Services, Inc

  • General Practice Physician
  • Superior, MT
  • NPI 1710165105

  O20031114000597

  Same enrollment

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Syed Akbar, MD

  • Diagnostic Radiology Physician
  • Oak Brook, IL
  • NPI 1174574222
  NPD (past)
• Sandeep Amesur, M.D.

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1144329848
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554422400000",
    "number": "1093809196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66",
            "city": "SUPERIOR",
            "state": "MT",
            "postal_code": "598720066",
            "telephone_number": "406-822-4841",
            "fax_number": "406-822-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 6TH AVE",
            "city": "SUPERIOR",
            "state": "MT",
            "postal_code": "598729618",
            "telephone_number": "406-822-4841",
            "fax_number": "406-822-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOULA COMMUNITY HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-04-05",
        "status": "A",
        "authorized_official_last_name": "MCNEECE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-822-4841",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "MT",
            "license": "10034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0355589",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCHS INC  (PROF)",
            "identifier": "0000016830",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mineral Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mineral Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mineral Pharmacy Inc
• Mineral Regional Health Center Inc.
• Missoula Community Health Services, Inc
• Missoula Community Health Services, Inc
• Missoula Community Health Services, Inc
• Missoula Community Health Services, Inc.
• Missoula Community Health Services, Inc.
• Ernesto E. Ornelas, FNP
• Providence Health & Services Mt
• Megan Hattie Pugh, PA-C

• Rural Acute Care Hospital in Superior, MT
• Providers in Superior, MT by specialty
• Rural Acute Care Hospital in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.