Mineral Regional Health Center, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

MINERAL REGIONAL HEALTH CENTER, INC.

Practice address

1 Two Rivers Place
St. Regis, MT 59866

Phone

(406) 822-4278

NPI assigned

Jul 6, 2012

Last updated

Nov 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Steven D. Carty

Title

Director

Phone

(406) 822-4278

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902161995. Details of each certification follow.

• CCN 271850 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 271850

Legal name

MINERAL REGIONAL HEALTH CENTER INC - ST REGIS CLIN

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Nov 29, 2012

Last certification

Nov 29, 2012

Ownership / control type

For profit – partnership

Facility address

1 Two Rivers Place
Saint Regis, MT 59866

Practitioners 3

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.

• Gregory S Houlihan, DO

  • Family Medicine Physician
  • Superior, MT
  • NPI 1447251319
  NPD (past)
• Randy J Lovell, DO

  • Family Medicine Physician
  • Thompson Falls, MT
  • NPI 1003836313
  NPD (past)
• Roger Pafford, M.D.

  • Adult Medicine Physician
  • Anaconda, MT
  • NPI 1497802797
  NPD (past)

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352764800000",
    "number": "1902161995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 698",
            "city": "SUPERIOR",
            "state": "MT",
            "postal_code": "598720698",
            "telephone_number": "406-822-4278",
            "fax_number": "406-822-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TWO RIVERS PLACE",
            "city": "ST. REGIS",
            "state": "MT",
            "postal_code": "59866",
            "telephone_number": "406-822-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINERAL REGIONAL HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-06",
        "last_updated": "2012-11-13",
        "status": "A",
        "authorized_official_last_name": "CARTY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "406-822-4278",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Burnham, LCPC
• Shannon Christine Matthews, APRN
• Missoula Community Health Services, Inc.
• Jordann Murphy, LCSW
• Randy J. Lovell, DO, II, PC (Jack Lincoln Memorial Clinic)
• Rosalee Shorter, P.A.
• St. Regis School

• Federally Qualified Health Center (FQHC) in Saint Regis, MT
• Providers in Saint Regis, MT by specialty
• Federally Qualified Health Center (FQHC) in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.