MINERAL COMMUNITY HOSPITAL CLINIC
NPI 1073080461
Clinic/Center - Multi-Specialty in Superior, MT

Q: What is Missoula Community Health Services, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since October 24, 2018CLIA Certified · 2 labs

1208 6TH AVE, SUPERIOR, MT 59872(406) 822-4841 Get Directions Write a Review

NPPES record last updated: October 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 12, 2022, Apr 5, 2019, Jan 30, 2019 and 1 more (4 updates tracked since 2018).

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About Mineral Community Hospital Clinic NPPES

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

MINERAL COMMUNITY HOSPITAL CLINIC (NPI 1073080461) is a healthcare organization registered as a multi-specialty in Superior, Montana and active in the NPI registry since October 2018. The organization holds 2 active CLIA laboratory certificates and lists Stacy Conrow-ververis, Cfo, as its authorized official.

NPPES Registry Identity

NPI1073080461

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameMISSOULA COMMUNITY HEALTH SERVICES, INC

Location Address1208 6TH AVESuperior, MT 59872-9667

Mailing AddressPo Box 66Superior, MT 59872-0066 · (406) 822-4841 · Fax (406) 822-4963

Phone(406) 822-4841

Organization SubpartNo

Authorized OfficialStacy Conrow-ververisCfo · (406) 822-4841

Enumeration DateOctober 24, 2018

Last NPPES UpdateOctober 12, 20224 updates tracked since enumeration

NPPES CertifiedOctober 12, 2022

✔ NPI 1073080461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

1208 6TH AVE, Superior, MT 59872

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Other Names 1

Doing Business AsMineral Community Hospital Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 Accreditation 27D0411115

Mineral Community Hospital · Superior, MT

Active · expires Jul 16, 2027

CLIA Number27D0411115

Laboratory TypeHospital

Certificate Effective DateJuly 17, 2025

Certificate Expiration DateJuly 16, 2027

Laboratory DirectorDr. Nicole Finke

Laboratory Phone(406) 822-3704

Laboratory LocationMineral Community Hospital1208 6th Avenue East, Superior, MT 59872

CLIA data matches this NPI record on: Address Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 27D2158815

Missoula Community Health Services Inc Dba Mineral Community Hospital Clinic · Superior, MT

Active · expires Dec 5, 2026

CLIA Number27D2158815

Laboratory TypeCommunity Clinic

Certificate Effective DateDecember 6, 2024

Certificate Expiration DateDecember 5, 2026

Laboratory DirectorJacob Whetzel

Laboratory Phone(406) 822-3704

Laboratory LocationMissoula Community Health Services Inc Dba Mineral Community Hospital Clinic1208 6th Avenue East, Superior, MT 59872

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN HATTIE PUGH PA-C

Physician Assistant