Organization Name: | FALLON MEDICAL COMPLEX INC |
NPI Number: | 1316013022 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SELENA R NELSON (CFO) |
Mailing Address: | 202 South 4th Street West Baker |
State: | MT US |
Postal Code: | 593130820 |
Phone Number: | 4067785105 |
Fax Number: | 4067785155 |
NPI Enumeration Date: | 11/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 10663 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |