NPIMap

Organization Active NPI

Origin Health LLC

  • Birthing Clinic/Center
  • Missoula, MT
National Provider Identifier
1104700897
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
Legal business name
ORIGIN HEALTH LLC
Practice address
2831 Fort Missoua Road
Suite 102
Missoula, MT 59804
Phone
(406) 523-5650
Fax
(855) 823-5532
NPI assigned
Aug 5, 2025
Organization subpart
Yes
Parent organization
ORIGIN HEALTH LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Authorized official

Name
Merlin Bardett Fausett, MDNPI 1659403038
Title
Owner/President
Phone
(406) 523-5650

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X Primary

Addresses

Primary practice location

2831 Fort Missoua Road
Suite 102
Missoula, MT 59804

Mailing address

2831 Fort Missoula Rd Ste 232
Missoula, MT 59804-7479
Phone (406) 523-5650

Other names 1

  • MISSOULA BIRTH CENTER Other name

National Provider Directory

National Provider Directory
Tax ID family
Origin Health LLC2 organizations share this tax ID, including this one
Part of
Origin Health LLC

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1104700897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 FORT MISSOULA RD STE 232",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047479",
            "telephone_number": "406-523-5650",
            "fax_number": "855-823-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 FORT MISSOUA ROAD",
            "address_2": "SUITE 102",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "59804",
            "telephone_number": "406-523-5650",
            "fax_number": "855-823-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGIN HEALTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORIGIN HEALTH LLC",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "FAUSETT",
        "authorized_official_first_name": "MERLIN",
        "authorized_official_middle_name": "BARDETT",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "406-523-5650",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MISSOULA BIRTH CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.