Organization
FALLON MEDICAL COMPLEX INC
Active
Parent organization
FALLON MEDICAL COMPLEX INC
Other names
dba Community Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
FALLON MEDICAL COMPLEX INC
Authorized official
SELENA R NELSON (CFO)
(406) 778-5103
Entity
Organization
Contact information
Practice address
202 SOUTH 4TH STREET WEST, BAKER, MT 59313-1119
(406) 778-2833
(406) 778-5155
Mailing address
PO BOX 820, BAKER, MT 59313-0820
(406) 778-2833
(406) 778-5155
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
Primary
10662
MT
Other
Enumeration date
12/29/2006
Last updated
10/09/2007
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