MINERAL COMMUNITY HOSPITAL CLINIC
NPI 1073080461
Clinic/Center - Multi-Specialty in Superior, MT
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
Specialties & Licenses 2
Other Names 1
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)
Mineral Community Hospital Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Mineral Community Hospital Clinic, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (13)
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 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, MTCertificate of Waiver 27D2158815
Missoula Community Health Services Inc Dba Mineral Community Hospital Clinic · Superior, MTFrequently 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 Missoula Community Health Services, Inc's NPI number?
The NPI number for Missoula Community Health Services, Inc is 1073080461. It was assigned to this organization in the NPPES registry on October 24, 2018. The provider is doing business as Mineral Community Hospital Clinic.
Where is Missoula Community Health Services, Inc located?
Missoula Community Health Services, Inc is located at 1208 6th Ave, Superior, MT 59872. The listed phone number is (406) 822-4841.
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.
Is Missoula Community Health Services, Inc enrolled in Medicare?
Yes. Missoula Community Health Services, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Missoula Community Health Services, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 6 Medicare specialties reassign their Medicare billing to Missoula Community Health Services, 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 Certified Registered Nurse Anesthetist (CRNA) (3), Emergency Medicine (3) and Family Practice (3). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Missoula Community Health Services, Inc hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Missoula Community Health Services, Inc accept?
Health plans from Blue Cross and Blue Shield of Montana and Mountain Health CO-OP list Missoula Community Health Services, 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 Missoula Community Health Services, Inc was last updated on October 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mineral Community Hospital Clinic · NPI 1073080461
Multi-Specialty organization in Superior, Montana. Organization record, active in the CMS NPPES registry since October 24, 2018.
## Identity
- **NPI:** 1073080461 (Entity type: Organization)
- **Enumerated:** October 24, 2018
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Legal business name:** Missoula Community Health Services, Inc
- **Organization subpart:** No
- **Authorized official:** Stacy Conrow-Ververis, CFO
## Practice location
- **Address:** 1208 6TH AVE, Superior, MT 59872-9667
- **Phone:** (406) 822-4841
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (3), Emergency Medicine (3), Family Practice (3); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 12, 2022
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073080461) · Data from the CMS NPPES public registry.