# FALLON MEDICAL COMPLEX INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FALLON MEDICAL COMPLEX INC
- **Other names:** dba Community Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1386700763
- **Legal business name:** FALLON MEDICAL COMPLEX INC
- **Authorized official:** SELENA R NELSON (CFO)
- **Authorized official phone:** (406) 778-5103

## Contact information

- **Practice address:** 202 SOUTH 4TH STREET WEST, BAKER, MT 59313-1119
- **Practice address phone:** (406) 778-2833
- **Practice address fax:** (406) 778-5155
- **Mailing address:** PO BOX 820, BAKER, MT 59313-0820
- **Mailing address phone:** (406) 778-2833
- **Mailing address fax:** (406) 778-5155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC0050X | Critical Access Hospital Clinic/Center | 10662 | MT | Yes |

## Other

- **Enumeration date:** 12/29/2006
- **Last updated:** 10/09/2007