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General NPI Number Information
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NPI Number | 1396711396
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Entity Type | Organization
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Legal Business Name | COMMUNITY MEDICAL CENTER INC
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Dates
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Enumeration Date | 02/28/2006
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Last Update Date | 09/01/2009
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Provider Practice Location Address
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Address Line | 2827 FORT MISSOULA RD
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City | MISSOULA
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State | MT
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Zip | 59804-7408
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Country | US
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Telephone | 406-728-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 2827 FORT MISSOULA RD
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City | MISSOULA
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State | MT
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Zip | 59804-7408
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Country | US
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Telephone | 406-728-4100
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | DAVID RICHHART
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Credential | CFO
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Telephone | 406-728-4100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 10002
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License Number State | MT
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