Active NPI
Community Medical Center Inc
- General Acute Care Hospital
- Missoula, MT
National Provider Identifier
1396711396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 10002
- Legal business name
- COMMUNITY MEDICAL CENTER INC
- Practice address
- 2827 Fort Missoula Rd
Missoula, MT 59804-7408 - Phone
- (406) 728-4100
- NPI assigned
- Feb 28, 2006
- 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
- David Richhart, CFO
- Title
- Cfo
- Phone
- (406) 728-4100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 10002 | MT | Primary |
Addresses
Primary practice location
2827 Fort Missoula Rd
Missoula, MT 59804-7408
Mailing address
2827 Fort Missoula Rd
Missoula, MT 59804-7408
Phone (406) 728-4100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00182 | Other | MT | BC 1500 |
| 95680 | Other | MT | BC UB92 |
| 0415909 | Medicaid | MT |
National Provider Directory
National Provider Directory- Tax ID family
- Beaumont Medical Services
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
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- Missoula, MT
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-
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-
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-
- Community/Retail Pharmacy
- Missoula, MT
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-
- Case Management Agency
- Missoula, MT
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Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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-
- Cardiovascular Disease Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251763200000",
"number": "1396711396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2827 FORT MISSOULA RD",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598047408",
"telephone_number": "406-728-4100"
},
{
"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": "406-728-4100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY MEDICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-28",
"last_updated": "2009-09-01",
"status": "A",
"authorized_official_last_name": "RICHHART",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "406-728-4100",
"authorized_official_credential": "CFO"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "MT",
"license": "10002",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC 1500",
"identifier": "00182",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC UB92",
"identifier": "95680",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0415909",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
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 Sep 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.