Organization
FALLON MEDICAL COMPLEX INC
Active
Other names
FMC Home Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
SELENA R NELSON (CFO)
(406) 778-5103
Entity
Organization
Contact information
Practice address
202 SOUTH 4TH STREET WEST, BAKER, MT 59313-0820
(406) 778-3331
(406) 778-5155
Mailing address
PO BOX 820, BAKER, MT 59313-0820
(406) 778-3331
(406) 778-5155
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0660634
—
MT
01
—
30470
BLUECROSS BLUESHIELD
MT
05
—
4709614
—
MT
05
—
740194
—
MT
Enumeration date
11/24/2006
Last updated
02/05/2008
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