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ORIGIN HEALTH LLC
NPI 1104700897
Clinic/Center - Birthing in Missoula, MT

Active since August 05, 2025CLIA Certified · 2 labs
2831 FORT MISSOUA ROAD, SUITE 102, MISSOULA, MT 59804(406) 523-5650(855) 823-5532 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Origin Health Llc NPPES

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

ORIGIN HEALTH LLC (NPI 1104700897) is a healthcare organization registered as a birthing in Missoula, Montana and active in the NPI registry since August 2025. The organization holds 2 active CLIA laboratory certificates and lists Merlin Bardett Fausett, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1104700897
Entity TypeOrganization
Primary Taxonomy261QB0400X
Legal Business NameORIGIN HEALTH LLC
Location Address2831 FORT MISSOUA ROAD, SUITE 102Missoula, MT 59804
Mailing Address2831 Fort Missoula Rd Ste 232Missoula, MT 59804-7479 · (406) 523-5650 · Fax (855) 823-5532
Phone(406) 523-5650
Fax(855) 823-5532
Organization SubpartYes
Authorized OfficialMerlin Bardett FausettOwner/president · (406) 523-5650
Enumeration DateAugust 5, 2025
NPPES CertifiedJuly 29, 2025
✔ NPI 1104700897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · BirthingAmbulatory Health Care Facilities
Taxonomy Code261QB0400X
Definition
A freestanding birth center is a health facility other than a hospital where childbirth is planned to occur away from the pregnant woman's residence, and that provides prenatal, labor and delivery, and postpartum care, as well as other ambulatory services for women and newborns.
2831 FORT MISSOUA ROAD, Missoula, MT 59804
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Other Names 1

Other NameMissoula Birth Center

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 for Provider-Performed Microscopy Procedures (PPMP) 27D2244044

Origin Health LLC · Missoula, MT
Active · expires Nov 28, 2027
CLIA Number27D2244044
Laboratory TypePhysician Office
Certificate Effective DateNovember 29, 2025
Certificate Expiration DateNovember 28, 2027
Laboratory DirectorDr. Merlin B. Fausett
Laboratory Phone(406) 523-5650
Laboratory LocationOrigin Health LLC2831 Fort Missoula Rd, Suite 232, Missoula, MT 59804
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 27D2327185

Origin Health LLC Butte · Butte, MT
Active · expires Jul 16, 2027
CLIA Number27D2327185
Laboratory TypePhysician Office
Certificate Effective DateJuly 17, 2025
Certificate Expiration DateJuly 16, 2027
Laboratory DirectorMerlin B. Fausett
Laboratory Phone(406) 523-5650
Laboratory LocationOrigin Health LLC Butte225 S Clark St, Butte, MT 59701
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Origin Health LLC's NPI number?

The NPI number for Origin Health LLC is 1104700897. It was assigned to this organization in the NPPES registry on August 5, 2025. The provider is also known as Missoula Birth Center.

Where is Origin Health LLC located?

Origin Health LLC is located at 2831 Fort Missoua Road Suite 102, Missoula, MT 59804. The listed phone number is (406) 523-5650.

What is Origin Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Birthing, with taxonomy code 261QB0400X.

Does Origin Health LLC 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.

When was this NPI record last updated?

The NPPES record for Origin Health LLC was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.