Partnership Health Center Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Missoula, MT
NPI 1689550337 · NPPES record last updated Aug 15, 2025
Key facts
- NPI
- 1689550337
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- PARTNERSHIP HEALTH CENTER INC
- Practice address
- 2365 Flynn LN
Missoula, MT 59808-5608 - Phone
- (406) 880-7264
- Fax
- (406) 258-4578
- NPI assigned
- Aug 15, 2025
- Organization subpart
- No
Authorized official
- Name
- Lara Salazar
- Title
- Ceo
- Phone
- (406) 258-3360
Other NPIs with the same Medicare PAC ID 14
Corporate family (same tax ID) 17
Practitioners 51
-
Noor Alain Bass, DO
-
Brett Marie Bell, M.D., M.P.H.
-
Darin M Bell, M.D.
-
Ellen Jean Bluett, PHD
-
Benjamin Joshua Bryden, M.D.
-
Ingrid Marie Calle, D.O.
-
Nathaniel Brent Chapman, LCSW
-
Robert W Cruikshank, M.D.
-
Johanna Dreiling, M.D.
-
Julie A Eggleton, MD
-
Leah Macke Gordon, M.D.
-
Jason Hall, APRN
-
Shanna L. Harris Romero, LCSW
-
Emily E. Heid, M.D.
-
Ursula Encell Holloway, LCSW
-
Tara Ivanovitch, LCSW, LAC
-
Jordan Jeffrey Jolly, LCPC
-
Nerissa Koehn, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Federally qualified health center certification: CCN 271030
- Legal name
- PARTNERSHIP HEALTH CENTER INC
- Doing business as
- PHC-HELLGATE ELEM. PK-1 (BLDG 2)
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Sep 18, 2025
- Last certification
- Sep 18, 2025
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 2365 Flynn Lane
Missoula, MT 59808-5608
All disclosed owners & managing parties 14
| Name | Role | Since | Share |
|---|---|---|---|
| Kathleen Walters |
Corporate Director |
Jul 1, 2013 | 1% |
| Jay Raines |
Corporate Director |
Jan 1, 2024 | 1% |
| Bryan William Chalmers |
Corporate Officer | Sep 16, 2019 | |
| Mark Thane |
Corporate Director |
Oct 1, 2019 | 1% |
| Patricia Kero |
Corporate Director |
Nov 1, 2021 | 1% |
| Lara Salazar |
Corporate Officer |
Oct 3, 2022 | 1% |
| W-2 Managing Employee |
Oct 3, 2022 | 1% | |
| Suzette Baker |
Corporate Director |
Apr 1, 2024 | 1% |
| Esther Tuttle |
Corporate Director |
Dec 1, 2024 | 1% |
| Joseph Melvin |
Corporate Director |
Jan 1, 2019 | 1% |
| Kristin Petersen |
Corporate Director |
Sep 1, 2024 | 1% |
| Andrea Green |
Corporate Director |
Mar 1, 2021 | 1% |
| Natalie Wolfram |
Corporate Director |
Oct 1, 2018 | 1% |
| John Crawford |
Corporate Director |
Feb 1, 2026 | 1% |
| Jilayne Dunn |
Corporate Director |
Dec 1, 2013 | 1% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251104002610 | MT | Part a Provider - Federally Qualified Health Center (FQHC) | 6103843479 | Practice locations: Missoula, MT |
National Provider Directory
- Tax ID family
- Partnership Health Ctr Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
2365 Flynn LN
Missoula, MT 59808-5608
Mailing address
401 Railroad St W
Missoula, MT 59802-4178
Phone (406) 258-4789
Other names
- HC-Hellgate Elem.PK-1 (BLDG 2)
Other providers in Missoula, MT
- Partnership Health Center Inc
- Partnership Health Center Inc
- Partnership Health Center Inc
- Partnership Health Center Inc
- Partnership Health Center Inc
- Partnership Health Center Inc
- Partnership Health Center Inc
- Partnership Health Center Inc
- Partnership Health Center Inc
- Partnership Health Center Inc
All providers in Missoula, MT · Federally Qualified Health Center (FQHC) in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.