NPIMap

Organization Active NPI

Partnership Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Missoula, MT
National Provider Identifier
1437196243
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PARTNERSHIP HEALTH CENTER INC
Practice address
323 W Alder St
Missoula, MT 59802-4123
Phone
(406) 258-4191
Fax
(406) 258-4180
NPI assigned
Jun 1, 2006
Last updated
Feb 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Lara Salazar
Title
Chief Executive Officer
Phone
(406) 258-3360

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

323 W Alder St
Missoula, MT 59802-4123

Mailing address

323 W Alder St
Missoula, MT 59802-4123
Phone (406) 258-4496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051026000379 MT Part B Supplier - Clinic/Group Practice 6103843479 Receives reassigned benefits from 98 practitioners
6 other NPIs on this enrollment
Practice locations: Missoula, MT; Seeley Lake, MT; Superior, MT
O20100728001283 MT Part A Provider - Federally Qualified Health Center (FQHC) 6103843479 Practice locations: Missoula, MT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437196243. Details of each certification follow.

Federally qualified health center certification: CCN 271803

Legal name
PARTNERSHIP HEALTH CENTER INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1992
Last certification
Oct 1, 1992
Ownership / control type
Non-profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 1, 1992 in MT
Enrollment address
323 W Alder St
Missoula, MT 59802-4123

Other NPIs with the same Medicare PAC ID 14

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

View all 14

Other NPIs on the same Medicare enrollment 6

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

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kathleen Walters Individual Corporate DirectorBoard Vice President Jul 1, 2013
Bryan William Chalmers Individual Corporate OfficerCfo Dec 16, 2019 1%
Mark Thane Individual Corporate DirectorBoard Member Oct 1, 2019
Patricia Kero Individual Corporate DirectorBoard Member Nov 1, 2021
Jeffrey Weist Individual Corporate DirectorBoard President Oct 1, 2006
Lara Salazar Individual 5% Or Greater Direct Ownership InterestCeo Oct 3, 2022 1%
Corporate OfficerCeo Oct 1, 2022 5%
Talbert Demeester Individual Corporate DirectorBoard Member Oct 1, 2018
Joseph Melvin Individual Corporate DirectorBoard Member Jan 1, 2019
Andrea Green Individual Corporate DirectorBoard Member Mar 1, 2021
Natalie Wolfram Individual Corporate DirectorBoard Member Oct 1, 2018
Holly Blaylock Individual W-2 Managing EmployeeRevenue Cycle Manager Jul 6, 2015
Karen Myers Individual Corporate DirectorBoard Member Sep 1, 2019
David Strohmaier Individual Corporate DirectorBoard Member Jul 1, 2019
John Crawford Individual Corporate DirectorBoard Treasurer Feb 1, 2016
Bruce W Richardson Individual Corporate DirectorBoard Member Oct 1, 2020
Jilayne Dunn Individual Corporate DirectorBoard Member Dec 1, 2013

Practitioners & affiliated clinicians

Practitioners 101

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 101

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1437196243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 W ALDER ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024123",
            "telephone_number": "406-258-4496",
            "fax_number": "406-258-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 W ALDER ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024123",
            "telephone_number": "406-258-4191",
            "fax_number": "406-258-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERSHIP HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "LARA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "406-258-3360"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.