MINERAL COMMUNITY HOSPITAL CLINIC
NPI 1073080461
Clinic/Center - Multi-Specialty in Superior, MT
NPI Status: Active since October 24, 2018
Contact Information
1208 6TH AVE
SUPERIOR, MT
ZIP 59872
Phone: (406) 822-4841
- Organization
- Clinic/Center
- Multi-Specialty
- Accepts Insurance
- CLIA Number: 27D0411115
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 07-16-2027
About MINERAL COMMUNITY HOSPITAL CLINIC
This page provides the complete NPI Profile along with additional information for Mineral Community Hospital Clinic, a provider established in Superior, Montana operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1073080461 assigned on October 2018. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Mineral Community Hospital Clinic. The authorized official of this NPI record is Stacy Conrow-ververis (Cfo)
- NPI
- 1073080461
- Provider Legal Name
- MISSOULA COMMUNITY HEALTH SERVICES, INC
- Other Organization Name
- MINERAL COMMUNITY HOSPITAL CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1208 6TH AVE SUPERIOR, MT 59872
- Location Phone
- (406) 822-4841
- Mailing Address
- PO BOX 66 SUPERIOR, MT 59872
- Mailing Phone
- (406) 822-4841
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-24-2018
- Last Update Date
- 10-12-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Preferred Bronze PPO? 201 - PPO
- Blue Preferred Bronze PPO? 202 - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Preferred Gold PPO? 204 - PPO
- Blue Preferred Gold PPO? 901 - PPO
- Blue Preferred Gold PPO? Standard - PPO
- Blue Preferred Security PPO? 200 - PPO
- Blue Preferred Silver PPO? 203 - PPO
- Blue Preferred Silver PPO? 308 - PPO
- Blue Preferred Silver PPO? Standard - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 27D0411115
- Facility Type
- Hospital
- Certificate Effective Date
- July 17, 2025
- Certificate Expiration Date
- July 16, 2027
- Laboratory Director
- DR. NICOLE FINKE
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Mineral Community Hospital Clinic on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
Reviews for MINERAL COMMUNITY HOSPITAL CLINIC
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1073080461, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 49 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
SUPERIOR, MT 59872
SUPERIOR, MT 59872
SUPERIOR, MT 59872
SUPERIOR, MT 59872
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073080461, enumerated as an "organization" on October 24, 2018.
The provider is located at 1208 6TH AVE SUPERIOR, MT 59872 and the phone number is (406) 822-4841.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana. Please consult your insurance carrier or call the provider to verify.
