FALLON MEDICAL COMPLEX INC
NPI 1316965346
General Acute Care Hospital - Critical Access in Baker, MT

NPI Status: Active since July 17, 2006

Contact Information

202 SOUTH 4TH STREET WEST
BAKER, MT
ZIP 59313
Phone: (406) 778-3331
Fax: (406) 778-5155

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  • Organization
  • General Acute Care Hospital
  • Critical Access
  • Accepts Insurance
  • CLIA Number: 27D0684509
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 08-31-2026

About FALLON MEDICAL COMPLEX INC

Fallon Medical Complex Inc is a hospital serving the Baker, Montana region. The facility is a general acute care hospital. The NPI number of this hospital is 1316965346 assigned on July 2006. The hospital's primary taxonomy code is 282NC0060X with license number 10663 (MT). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Selena R Nelson (Cfo)

NPI
1316965346
Provider Name
FALLON MEDICAL COMPLEX INC
Entity Type
Organization
Location Address
202 SOUTH 4TH STREET WEST BAKER, MT 59313
Location Phone
(406) 778-3331
Location Fax
(406) 778-5155
Mailing Address
PO BOX 820 202 SOUTH 4TH STREET WEST BAKER, MT 59313
Mailing Phone
(406) 778-3331
Mailing Fax
(406) 778-5155
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-17-2006
Last Update Date
10-09-2012
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According to the Hospital Compare program data, Fallon Medical Complex Inc doesn't have an overall quality rating because there are too few measures or measure groups reported to calculate a star rating or measure group score. The hospital provides emergency services like acute medical care or trauma care.

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

General Acute Care Hospital Critical Access

Taxonomy Code
282NC0060X
Type
Hospitals
License No.
10663
License State
MT

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
  • Peak PPO Bronze HDHP - PPO
  • Peak PPO Bronze Standard - PPO
  • Peak PPO Catastrophic - PPO
  • Peak PPO Gold - PPO
  • Peak PPO Gold Standard - PPO
  • Peak PPO Silver - PPO
  • Peak PPO Silver Standard - PPO
  • Plus Bronze - PPO
  • Plus Bronze Standard - PPO
  • Plus Gold - PPO
  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $10,600 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,500 - PPO
  • Sanford Individual Simplicity $7,200 HSA Qualified - PPO
  • Sanford Individual Simplicity Standardized $2,000 - PPO
  • Sanford Individual Simplicity Standardized $6,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SELENA R NELSON

Authorized Official Title
CFO
Authorized Official Phone
(406) 778-5103

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000060632OTHER (01)MTCAH BLUE CROSS
0412360MEDICAID (05)MT 
271301MEDICARE OSCAR/CERTIFICATION (06)MT 

Hospital Compare Quality Information

Star ratings information gives patients a useful way to compare local hospitals by highlighting important quality factors like readmissions, mortality, safety of care, patient experience and timely and effective care. The ratings are presented as stars, ranging from 1 to 5. A higher number of stars indicates better performance in each quality aspect.

  • Overall Quality Rating Not Available - There are too few measures or measure groups reported to calculate a star rating or measure group score.

    The overall rating is calculated by taking the weighted average of these group of scores. If a hospital is missing a measure category or group, the weights are redistributed amongst the qualifying measure categories or groups.

  • Hospital Type Critical Access Hospitals - Voluntary non-profit - Private

  • Emergency Services: Yes

    Shows if the hospital provides emergency services like acute medical care or trauma care.

  • Meaningful Use of Electronic Health Records:

    Shows if the hospital meets the criteria for promoting interoperability of Electronic Health Record Systems (EHRS).

Hospital Complications and Mortality Quality Ratings

  • Death rate for COPD patients is number of cases too small

    Evaluation Period: July 2020 - June 2023

  • Death rate for heart failure patients is number of cases too small

    Evaluation Period: July 2020 - June 2023

  • Death rate for pneumonia patients is number of cases too small

    Evaluation Period: July 2020 - June 2023

  • Death rate for stroke patients is number of cases too small

    Evaluation Period: July 2020 - June 2023

Unplanned Hospital Visits Quality Ratings

  • Hospital return days for heart attack patients is number of cases too small

    Evaluation Period: July 2020 - June 2023

  • Hospital return days for heart failure patients is number of cases too small

    Evaluation Period: July 2020 - June 2023

  • Hospital return days for pneumonia patients is number of cases too small

    Evaluation Period: July 2020 - June 2023

  • Acute Myocardial Infarction (AMI) 30-Day Readmission Rate is number of cases too small

    Evaluation Period: July 2020 - June 2023

  • Rate of readmission for chronic obstructive pulmonary disease (COPD) patients is number of cases too small

    Evaluation Period: July 2020 - June 2023

  • Heart failure (HF) 30-Day Readmission Rate is number of cases too small

    Evaluation Period: July 2020 - June 2023

  • Rate of readmission after discharge from hospital (hospital-wide) is no different than the national rate

    Evaluation Period: July 2022 - June 2023

  • Pneumonia (PN) 30-Day Readmission Rate is number of cases too small

    Evaluation Period: July 2020 - June 2023

Hospital Timely and Effective Care Quality Ratings

  • Emergency department volume is low

    Evaluation Period: January 2022 - December 2022

  • Admit Decision Time to ED Departure Time for Admitted Patients - non psychiatric/mental health disorders is not available

    Evaluation Period: January 2023 - December 2023

  • Admit Decision Time to ED Departure Time for Admitted Patients - psychiatric/mental health disorders is not available

    Evaluation Period: January 2023 - December 2023

  • Percentage of healthcare personnel who are up to date with COVID-19 vaccinations is not available%

    Percentage of healthcare personnel who completed COVID-19 primary vaccination series.
    Evaluation Period: October 2023 - December 2023

  • Hospital Harm - Severe Hypoglycemia is not available

    Evaluation Period: January 2023 - December 2023

  • Hospital Harm - Severe Hyperglycemia is not available

    Evaluation Period: January 2023 - December 2023

  • Healthcare workers given influenza vaccination is 87%

    Percentage of healthcare workers given influenza vaccination.
    Evaluation Period: October 2023 - March 2024

  • Average (median) time patients spent in the emergency department before leaving from the visit A lower number of minutes is better is 80 minutes

    Average time patients spent in the emergency department before leaving from the visit.
    Evaluation Period: January 2023 - December 2023

  • Average (median) time patients spent in the emergency department before leaving from the visit- Psychiatric/Mental Health Patients. A lower number of minutes is better is 135 minutes

    Average time patients spent in the emergency department before being sent home.
    Evaluation Period: January 2023 - December 2023

  • Left before being seen is 0 %

    Percentage of patients who left the emergency department before being seen.
    Evaluation Period: January 2022 - December 2022

  • Head CT results is not available %

    Percentage of patients who came to the emergency department with stroke symptoms who received brain scan results within 45 minutes of arrival.
    Evaluation Period: January 2023 - December 2023

  • Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients is not available %

    Percentage of patients receiving appropriate recommendation for follow-up screening colonoscopy.
    Evaluation Period: January 2022 - December 2022

  • Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery is not available %

    Percentage of patients who had cataract surgery and had improvement in visual function within 90 days following the surgery.
    Evaluation Period: January 2022 - December 2022

  • ST-Segment Elevation Myocardial Infarction (STEMI) is not available

    Evaluation Period: January 2023 - December 2023

  • Safe Use of Opioids - Concurrent Prescribing is not available

    Evaluation Period: January 2023 - December 2023

  • Appropriate care for severe sepsis and septic shock is not available %

    Severe Sepsis and Septic Shock. Sepsis is a complication that happens when a patient has an extreme response to an infection. Higher percentages are better.
    Evaluation Period: January 2023 - December 2023

  • Septic Shock 3-Hour Bundle is not available %

    Septic Shock 3 Hour.
    Evaluation Period: January 2023 - December 2023

  • Septic Shock 6-Hour Bundle is not available %

    Severe Sepsis 6 Hour.
    Evaluation Period: January 2023 - December 2023

  • Severe Sepsis 3-Hour Bundle is not available

    Evaluation Period: January 2023 - December 2023

  • Severe Sepsis 6-Hour Bundle is not available %

    Septic Shock 6 Hour.
    Evaluation Period: January 2023 - December 2023

  • Discharged on Antithrombotic Therapy is not available

    Evaluation Period: January 2023 - December 2023

  • Anticoagulation Therapy for Atrial Fibrillation/Flutter is not available

    Evaluation Period: January 2023 - December 2023

  • Antithrombotic Therapy by End of Hospital Day 2 is not available

    Evaluation Period: January 2023 - December 2023

  • Discharged on Statin Medication is not available

    Evaluation Period: January 2023 - December 2023

  • Venous Thromboembolism Prophylaxis is 24

    Evaluation Period: January 2023 - December 2023

  • Intensive Care Unit Venous Thromboembolism Prophylaxis is not available

    Evaluation Period: January 2023 - December 2023

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
27D0684509
Facility Type
Hospital
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
DARRYL ESPELAND
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Fallon Medical Complex Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1316965346, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
1
Doubled → 2
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
4
Doubled → 8
Check
6
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 1 → 2 9 → 18 → 9 5 → 10 → 1 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 2 + 6 + 1 + 8 + 6 + 1 + 0 + 3 + 8 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1316965346.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Home Health
202 SOUTH 4TH STREET WEST
BAKER, MT 59313
Clinic/Center (Critical Access Hospital)
202 SOUTH 4TH STREET WEST
BAKER, MT 59313
General Practice
202 SOUTH 4TH STREET WEST
BAKER, MT 59313
Medicare Defined Swing Bed Unit
202 SOUTH 4TH STREET WEST
BAKER, MT 59313
Clinic/Center (Rural Health)
202 SOUTH 4TH STREET WEST
BAKER, MT 59313
Skilled Nursing Facility
202 SOUTH 4TH STREET WEST
BAKER, MT 59313
Clinic/Center (Occupational Medicine)
202 SOUTH 4TH STREET WEST
BAKER, MT 59313
Clinic/Center (Physical Therapy)
202 SOUTH 4TH STREET WEST
BAKER, MT 59313
Durable Medical Equipment & Medical Supplies (Nursing Facility Supplies)
202 SOUTH 4TH STREET WEST
BAKER, MT 59313
General Practice
202 SOUTH 4TH STREET WEST
BAKER, MT 59313
Clinic/Center (Radiology)
202 SOUTH 4TH STREET WEST
BAKER, MT 59313

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316965346, enumerated as an "organization" on July 17, 2006.

The provider is located at 202 SOUTH 4TH STREET WEST BAKER, MT 59313 and the phone number is (406) 778-3331.

General Acute Care Hospital with taxonomy code 282NC0060X and a focus in Critical Access.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Mountain. Please consult your insurance carrier or call the provider to verify.