WIBAUX CLINIC
NPI 1043229776
Clinic/Center - Health Service in Wibaux, MT

Active since August 05, 2006CLIA 27D2210515 · Waiver
710 DRAKE STREET, WIBAUX, MT 59353(406) 778-2833(406) 778-5155 Get Directions Write a Review

NPPES record last updated: May 9, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wibaux Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WIBAUX CLINIC (NPI 1043229776) is a healthcare organization registered as a health service in Wibaux, Montana and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through January 20, 2027 and lists Selena R Nelson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1043229776
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameFALLON MEDICAL COMPLEX INC
Location Address710 DRAKE STREETWibaux, MT 59353
Mailing AddressPo Box 1119, 202 South 4th Street WestBaker, MT 59313-1119 · (406) 778-2833 · Fax (406) 778-5155
Fax(406) 778-5155
Organization SubpartYes
Authorized OfficialSelena R NelsonCfo · (406) 778-5103
Enumeration DateAugust 5, 2006
Last NPPES UpdateMay 9, 2008
✔ NPI 1043229776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
710 DRAKE STREET, Wibaux, MT 59353

Other Names 1

Doing Business AsWibaux Clinic

Other Identifiers 1

Medicare PIN000008440MT

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wibaux Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Wibaux Clinic, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 6

Nurse Practitioner6
Family Practice4
Physical Therapist in Private Practice3
Diagnostic Radiology1
General Practice1
Occupational Therapist in Private Practice1

Clinicians, nearest first (16)

Physical Therapist in Private Practice
NPI 1851729396
202 S 4TH ST W
Baker, MT 59313
(406) 778-3331
43 mi
Nurse Practitioner
NPI 1467051318
202 S 4TH ST W
Baker, MT 59313
(406) 778-3331
✔ PECOS✔ Accepts Medicare43 mi
Occupational Therapist in Private Practice
NPI 1033676630
202 S 4TH ST W
Baker, MT 59313
(406) 778-3331
43 mi
Family Practice
NPI 1972761252
202 S 4TH ST W
Baker, MT 59313
(406) 778-2833
✔ PECOS✔ Accepts Medicare43 mi
Physical Therapist in Private Practice
NPI 1215368220
202 S 4TH ST W
Baker, MT 59313
(406) 778-3331
✔ Accepts Medicare43 mi
General Practice
NPI 1093745572
202 SOUTH 4TH STREET WEST
Baker, MT 59313
(406) 778-2833
✔ PECOS✔ Accepts Medicare43 mi
Diagnostic Radiology
NPI 1467528455
3 4TH ST E SUITE 201
Williston, ND 58801
(701) 577-6337
✔ PECOS✔ Accepts Medicare85 mi
Physical Therapist in Private Practice
NPI 1992031140
2651 SOUTH AVE W
Missoula, MT 59804
(406) 728-9162
466 mi
Family Practice
NPI 1194257865
1208 6TH AVE
Superior, MT 59872
(406) 822-4841
✔ PECOS✔ Accepts Medicare504 mi
Family Practice
NPI 1942566195
6640 KANIKSU ST
Bonners Ferry, ID 83805
(208) 267-3141
✔ PECOS✔ Accepts Medicare576 mi
Family Practice
NPI 1487624664
3943 E PONY EXPRESS PKWY
Eagle Mountain, UT 84005
(017) 895-5668
✔ PECOS✔ Accepts Medicare600 mi
Nurse Practitioner
NPI 1841212321
835 S MAIN ST PREVEA OCONTO FALLS HEALTH CENTER
Oconto Falls, WI 54154
(920) 846-8187
✔ PECOS✔ Accepts Medicare786 mi
Nurse Practitioner
NPI 1144220468
4520 S US HIGHWAY 281
Blanco, TX 78606
(830) 833-0510
✔ PECOS1,209 mi
Nurse Practitioner
NPI 1326867607
103 BALBRIGGAN DR
Goose Creek, SC 29445
(843) 834-1320
✔ PECOS✔ Accepts Medicare1,590 mi
Nurse Practitioner
NPI 1558329664
60 HIGH ST
Lewiston, ME 04240
(207) 753-3900
✔ PECOS✔ Accepts Medicare1,647 mi
Nurse Practitioner
NPI 1730551862
4320 DIPLOMACY DR
Anchorage, AK 99508
(907) 729-3300
✔ PECOS✔ Accepts Medicare2,042 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 27D2210515

Wibaux Clinic · Wibaux, MT
Active · expires Jan 20, 2027
CLIA Number27D2210515
Laboratory TypeRural Health Clinic
Certificate Effective DateJanuary 21, 2025
Certificate Expiration DateJanuary 20, 2027
Laboratory DirectorKimberly C. Cody
Laboratory Phone(406) 345-8960
Laboratory LocationWibaux Clinic710 Drake Street, Wibaux, MT 59353
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fallon Medical Complex Inc's NPI number?

The NPI number for Fallon Medical Complex Inc is 1043229776. It was assigned to this organization in the NPPES registry on August 5, 2006. The provider is doing business as Wibaux Clinic.

Where is Fallon Medical Complex Inc located?

Fallon Medical Complex Inc is located at 710 Drake Street, Wibaux, MT 59353. The listed phone number is (406) 778-2833.

What is Fallon Medical Complex Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Fallon Medical Complex Inc enrolled in Medicare?

Yes. Fallon Medical Complex Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fallon Medical Complex Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 6 Medicare specialties reassign their Medicare billing to Fallon Medical Complex Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6), Family Practice (4) and Physical Therapist in Private Practice (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Fallon Medical Complex Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 27D2210515) is associated with this NPI, valid through January 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fallon Medical Complex Inc accept?

Health plans from Blue Cross and Blue Shield of Montana and Sanford Health Plan list Fallon Medical Complex Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fallon Medical Complex Inc was last updated on May 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.