NPIMap

Organization Active NPI

Partnership Health Center Inc

Doing business as PHC-Hellgate Elem 2-3 (BLDG 1)

  • Federally Qualified Health Center (FQHC)
  • Missoula, MT
National Provider Identifier
1477439131
Registry record updated Aug 15, 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
Doing business as
PHC-Hellgate Elem 2-3 (BLDG 1)
Practice address
2355 Flynn LN BLDG 1
Missoula, MT 59808-5608
Phone
(406) 258-4789
Fax
(406) 258-4578
NPI assigned
Aug 15, 2025
Last updated
Aug 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Authorized official

Name
Lara Salazar
Title
Ceo
Phone
(406) 258-3360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

2355 Flynn LN BLDG 1
Missoula, MT 59808-5608

Mailing address

401 Railroad St W
Missoula, MT 59802-4178
Phone (406) 258-4789

Other names 1

  • PHC-Hellgate Elem 2-3 (BLDG 1) Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251215000801 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 1477439131. Details of each certification follow.

Federally qualified health center certification: CCN 271031

Legal name
PARTNERSHIP HEALTH CENTER INC
Doing business as
PHC-HELLGATE ELEM 2-3 (BLDG 1)
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 5, 2025
Last certification
Dec 5, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
2355 Flynn Lane BLDG 1
Missoula, MT 59808-5608

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

National Provider Directory

National Provider Directory
Tax ID family
Partnership Health Ctr18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

1720 Wyoming St
Ste 201
Missoula, MT 59801
Phone 40625847893663

1910 S 11th St W
Missoula, MT 59801

3100 South Ave W
Missoula, MT 59804
Phone (406) 610-8181

4720 23rd Ave
Missoula, MT 59803
Phone (406) 251-5100

901 S 6th St W
Missoula, MT 59801
Phone 40672824002867

Ownership & related parties

All disclosed owners & managing parties 14

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 Member Jul 1, 2013 1%
Jay Raines Individual Corporate DirectorBoard Member Jan 1, 2024 1%
Bryan William Chalmers Individual Corporate OfficerCfo Sep 16, 2019 1%
Mark Thane Individual Corporate DirectorBoard Member Oct 1, 2019 1%
Patricia Kero Individual Corporate DirectorBoard Member Nov 1, 2021 1%
Lara Salazar Individual Corporate OfficerCeo Oct 3, 2022 1%
W-2 Managing EmployeeCeo Oct 3, 2022 1%
Suzette Baker Individual Corporate DirectorBoard Member Apr 1, 2024 1%
Esther Tuttle Individual Corporate DirectorBoard Member Dec 1, 2024 1%
Joseph Melvin Individual Corporate DirectorBoard Member Jan 1, 2019 1%
Kristin Petersen Individual Corporate DirectorBoard Member Sep 1, 2024 1%
Andrea Green Individual Corporate DirectorBoard Member Mar 1, 2021 1%
Natalie Wolfram Individual Corporate DirectorBoard Member Oct 1, 2018 1%
John Crawford Individual Corporate DirectorBoard Member Feb 1, 2016 1%
Jilayne Dunn Individual Corporate DirectorBoard Member Dec 1, 2013 1%

Practitioners & affiliated clinicians

Practitioners 90

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 90

NPI Registry JSON

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

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1477439131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 RAILROAD ST W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024178",
            "telephone_number": "406-258-4789",
            "fax_number": "406-258-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 FLYNN LN BLDG 1",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598085608",
            "telephone_number": "406-258-4789",
            "fax_number": "406-258-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERSHIP HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "LARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-258-3360"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHC-Hellgate Elem 2-3 (BLDG 1)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.