# FALLON MEDICAL COMPLEX INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Community Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700895752
- **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 1119, 202 SOUTH 4TH STREET WEST, BAKER, MT 59313-1119
- **Mailing address phone:** (406) 778-2833
- **Mailing address fax:** (406) 778-5155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/07/2006
- **Last updated:** 08/22/2020