NPIMap

Organization Active NPI

RCHP Billings - Missoula LLC

Doing business as Community Physician Group

  • Specialist
  • Missoula, MT
National Provider Identifier
1376946913
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
RCHP BILLINGS - MISSOULA LLC
Doing business as
Community Physician Group
Practice address
2827 Fort Missoula Rd
Missoula, MT 59804-7408
Phone
(406) 327-4620
NPI assigned
Sep 26, 2014
Last updated
Apr 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Authorized official

Name
Terrance Dillon
Title
Assistant Secretary
Phone
(502) 596-7220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

2827 Fort Missoula Rd
Missoula, MT 59804-7408

Mailing address

103 Continental PL
Suite 200
Brentwood, TN 37027-1041
Phone (615) 844-9836

Other identifiers 1

IdentifierTypeStateIssuer
1376946913MedicaidMT

Other names 1

  • Community Physician Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150312000492 MT Part B Supplier - Clinic/Group Practice 8426370842 Receives reassigned benefits from 213 practitioners
1 other NPI on this enrollment
Practice locations: Missoula, MT; Kalispell, MT; Polson, MT; Ronan, MT; Stevensville, MT; Deer Lodge, MT; Great Falls, MT; Hamilton, MT…

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Member of 1

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

Locations

2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202

2827 Fort Missoula Rd
Bldg 5
Missoula, MT 59804
Phone (406) 327-4646

2831 Fort Missoula Rd
Ste 146
Missoula, MT 59804
Phone (406) 327-3850

2837 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-3911

2839 Fort Missoula Rd
Missoula, MT 59804

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Partners in Home Care IncMissoula, MT, CCN 277032 Home health agency Operational/Managerial Control Jun 28, 2016
Partners in Home Care IncMissoula, MT, CCN 271500 Hospice Operational/Managerial Control Jun 28, 2016

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 245

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 245

NPI Registry JSON

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1376946913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CONTINENTAL PL",
            "address_2": "SUITE 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271041",
            "telephone_number": "615-844-9836",
            "fax_number": "615-844-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2827 FORT MISSOULA RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047408",
            "telephone_number": "406-327-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RCHP BILLINGS - MISSOULA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-26",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "502-596-7220"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376946913",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Physician Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Physician Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.