FALLON MEDICAL COMPLEX, INC (NPI# 1194881698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194881698 |
| Entity Type | Organization |
| Organization Name | FALLON MEDICAL COMPLEX, INC |
| Other Organization Name | OCCUPATIONAL THERAPY |
| Practice Address |
202 South 4th Street West Baker MT 59313-0820 |
| Mailing Address |
Po Box 820 202 South 4th Street West Baker MT 59313-0820 |
| Practice Telephone | 4067785103 |
| Practice Fax Number | 4067785155 |
| Mailing Telephone | 4067785103 |
| Mailing Fax Number | 4067785155 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SELENA R NELSON (CFO) |
| Authorized Official Telephone | 4067785103 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 346443 | 05 | |
| MT | BCBS MT OCCUPATIONAL THER | 662010 | 01 |
| Other Name | Type Code |
|---|---|
| Occupational Therapy | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861558330 | Fallon Medical Complex, Inc | Clinic/Center | 202 South 4th Street West, Baker, MT 59313-0820 | 2006-12-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FALLON MEDICAL COMPLEX, INC. | 202 S 4th St W, Baker, MT 59313-9156 |
| Street Address |
202 SOUTH 4TH STREET WEST |
| City | BAKER |
| State | MT |
| Zip Code | 59313-0820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093745572 | Darryl M Espeland | General Practice | 202 South 4th Street West, Baker, MT 59313-1119 | 2006-07-03 |
| 1235303801 | Dominick Peter Trivisonno | General Practice | 202 South 4th Street West, Baker, MT 59313-1119 | 2008-04-15 |
| 1689894800 | Fallon Medical Complex Inc | Durable Medical Equipment & Medical Supplies | 202 South 4th Street West, Baker, MT 59313-0820 | 2007-04-27 |
| 1023174521 | Fallon Medical Complex Inc | Clinical Medical Laboratory | 202 South 4th Street West, Baker, MT 59313-0820 | 2006-12-29 |
| 1861558330 | Fallon Medical Complex, Inc | Clinic/Center | 202 South 4th Street West, Baker, MT 59313-0820 | 2006-12-29 |
| 1386700763 | Fallon Medical Complex Inc | Clinic/Center | 202 South 4th Street West, Baker, MT 59313-1119 | 2006-12-29 |
| 1316013022 | Fallon Medical Complex Inc | Medicare Defined Swing Bed Unit | 202 South 4th Street West, Baker, MT 59313-0820 | 2006-11-27 |
| 1003982935 | Fallon Medical Complex Inc | Home Health | 202 South 4th Street West, Baker, MT 59313-0820 | 2006-11-24 |
| 1083624639 | Fallon Medical Complex Inc | Skilled Nursing Facility | 202 South 4th Street West, Baker, MT 59313-0820 | 2006-08-08 |
| 1700895752 | Fallon Medical Complex Inc | Clinic/Center | 202 South 4th Street West, Baker, MT 59313-1119 | 2006-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336293547 | James R Campbell Jr. | Dentist | 202 S 4th St W, Baker, MT 59313 | 2007-01-23 |
| 1871613703 | Todd Overton | Pharmacist | 103 South Main, Baker, MT 59313 | 2007-04-02 |
| 1598885410 | Eric S Sonsalla | Pharmacist | 103 South Main, Baker, MT 59313 | 2007-04-02 |
| 1508945502 | Baker Drug Co | Durable Medical Equipment & Medical Supplies | 103 S Main St, Baker, MT 59313 | 2006-11-02 |
| 1548314438 | Baker Drug Company | Pharmacy | 103 South Main, Baker, MT 59313-0459 | 2007-01-22 |
| 1073689915 | County of Fallon | Ambulance | 9 West Fallon Avenue, Baker, MT 59313-0638 | 2006-11-24 |
| 1902089550 | County of Fallon | Public Health or Welfare | 205 S 4th Street W, Baker, MT 59313-0820 | 2007-12-06 |
| 1700987690 | Gerald Elmo Gamrath | Pharmacist | 21 South Main, Baker, MT 59313-1018 | 2006-09-26 |
| 1134290950 | Gerald Gamrath | Durable Medical Equipment & Medical Supplies | 21 South Main Street, Baker, MT 59313-1518 | 2006-11-13 |
| 1134746605 | Baker Drug LLC | Durable Medical Equipment & Medical Supplies | 103 S Main St, Baker, MT 59313-9013 | 2020-07-01 |
| Find all providers in zip 59313 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124059092 | St. Vincent Healthcare | Clinic/Center | 1027 N 27th St, Billings, MT 59101-0701 | 2006-07-06 |
| 1306187398 | Montana Occupational Health | Clinic/Center | 536 S Cottonwood Rd, Bozeman, MT 59718-9515 | 2013-03-15 |
| 1437245768 | Applied Health Services Inc | Clinic/Center | 205 Sunnyview Ln, Kalispell, MT 59901-3120 | 2006-10-05 |
Please comment or provide details below to improve the information on FALLON MEDICAL COMPLEX, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.