Organization
COMMUNITY MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RICHHART CFO (CFO)
(406) 728-4100
Entity
Organization
Contact information
Practice address
2827 FORT MISSOULA RD, MISSOULA, MT 59804-7408
(406) 728-4100
Mailing address
2827 FORT MISSOULA RD, MISSOULA, MT 59804-7408
(406) 728-4100
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
10002
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00182
BC 1500
MT
05
—
0415909
—
MT
01
—
95680
BC UB92
MT
Enumeration date
02/28/2006
Last updated
09/01/2009
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