NPIMap

Organization Active NPI

Partnership Health Center Inc

Doing business as HC-Hellgate Elem.PK-1 (BLDG 2)

  • Federally Qualified Health Center (FQHC)
  • Missoula, MT
National Provider Identifier
1689550337
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
HC-Hellgate Elem.PK-1 (BLDG 2)
Practice address
2365 Flynn LN
Missoula, MT 59808-5608
Phone
(406) 880-7264
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

2365 Flynn LN
Missoula, MT 59808-5608

Mailing address

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

Other names 1

  • HC-Hellgate Elem.PK-1 (BLDG 2) Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251104002610 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 1689550337. Details of each certification follow.

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
CorporationNon-profit
Enrollment address
2365 Flynn Lane
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

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 Officer Sep 16, 2019
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 EmployeeAd; 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, 2026 1%
Jilayne Dunn Individual Corporate DirectorBoard Member Dec 1, 2013 1%

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": "1689550337",
    "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": "2365 FLYNN LN",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598085608",
            "telephone_number": "406-880-7264",
            "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": "HC-Hellgate Elem.PK-1 (BLDG 2)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.