Organization
FALLON MEDICAL COMPLEX INC
Active
Other names
DME
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) 778-5103
(406) 778-5155
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5605834
—
MT
Enumeration date
04/27/2007
Last updated
08/22/2020
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