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Organization

ORIGIN HEALTH LLC

Active
Parent organization
ORIGIN HEALTH LLC
Other names
MISSOULA BIRTH CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
ORIGIN HEALTH LLC
Authorized official
MERLIN BARDETT FAUSETT MD (OWNER/PRESIDENT)
(406) 523-5650
Entity
Organization

Contact information

Practice address
2831 FORT MISSOUA ROAD, SUITE 102, MISSOULA, MT 59804
(406) 523-5650
(855) 823-5532
Mailing address
2831 FORT MISSOULA RD STE 232, MISSOULA, MT 59804-7479
(406) 523-5650
(855) 823-5532

Taxonomy

Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary

Other

Enumeration date
08/05/2025
Last updated
08/05/2025
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