Organization
ORIGIN HEALTH LLC
Active
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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