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DBA COMMUNITY CLINIC
NPI 1386700763
Clinic/Center - Critical Access Hospital in Baker, MT

Active since December 29, 2006
202 SOUTH 4TH STREET WEST, BAKER, MT 59313(406) 778-2833(406) 778-5155 Get Directions Write a Review

NPPES record last updated: October 9, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dba Community Clinic NPPES

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

DBA COMMUNITY CLINIC (NPI 1386700763) is a healthcare organization registered as a critical access hospital in Baker, Montana and active in the NPI registry since December 2006. The organization lists Selena R Nelson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1386700763
Entity TypeOrganization
Primary Taxonomy261QC0050X
Legal Business NameFALLON MEDICAL COMPLEX INC
Location Address202 SOUTH 4TH STREET WESTBaker, MT 59313-1119
Mailing AddressPo Box 820Baker, MT 59313-0820 · (406) 778-2833 · Fax (406) 778-5155
Phone(406) 778-2833
Fax(406) 778-5155
Organization SubpartYes
Authorized OfficialSelena R NelsonCfo · (406) 778-5103
Enumeration DateDecember 29, 2006
Last NPPES UpdateOctober 9, 2007
✔ NPI 1386700763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Critical Access HospitalAmbulatory Health Care Facilities
Taxonomy Code261QC0050X
License✔ Licensed in MT · 10662
Definition
An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.
202 SOUTH 4TH STREET WEST, Baker, MT 59313
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Other Names 1

Doing Business AsDba Community Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Providence Health Plan, Sanford Health Plan.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)

Dba Community Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Dba Community Clinic, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 6

Nurse Practitioner6
Family Practice4
Physical Therapist in Private Practice3
Diagnostic Radiology1
General Practice1
Occupational Therapist in Private Practice1

Clinicians, nearest first (16)

Darryl Espeland, DO
General Practice
NPI 1093745572
202 SOUTH 4TH STREET WEST
Baker, MT 59313
(406) 778-2833
✔ PECOS✔ Accepts MedicareSame address
Amber Hurley, DPT
Physical Therapist in Private Practice
NPI 1851729396
202 S 4TH ST W
Baker, MT 59313
(406) 778-3331
Same address
Tylyn Loudermilk
Nurse Practitioner
NPI 1467051318
202 S 4TH ST W
Baker, MT 59313
(406) 778-3331
✔ PECOS✔ Accepts MedicareSame address
Mikenna O'donnell, OTR/L
Occupational Therapist in Private Practice
NPI 1033676630
202 S 4TH ST W
Baker, MT 59313
(406) 778-3331
Same address
Brian Sullivan, MD
Family Practice
NPI 1972761252
202 S 4TH ST W
Baker, MT 59313
(406) 778-2833
✔ PECOS✔ Accepts MedicareSame address
Victoria Susa, DPT
Physical Therapist in Private Practice
NPI 1215368220
202 S 4TH ST W
Baker, MT 59313
(406) 778-3331
✔ Accepts MedicareSame address
Leszek Jaszczak, M.D.
Diagnostic Radiology
NPI 1467528455
3 4TH ST E SUITE 201
Williston, ND 58801
(701) 577-6337
✔ PECOS✔ Accepts Medicare127 mi
Brittany Bettenhausen, PT
Physical Therapist in Private Practice
NPI 1992031140
2651 SOUTH AVE W
Missoula, MT 59804
(406) 728-9162
466 mi
Christopher Hallberg, M.D.
Family Practice
NPI 1194257865
1208 6TH AVE
Superior, MT 59872
(406) 822-4841
✔ PECOS✔ Accepts Medicare506 mi
Troy Baker, MD
Family Practice
NPI 1487624664
3943 E PONY EXPRESS PKWY
Eagle Mountain, UT 84005
(017) 895-5668
✔ PECOS✔ Accepts Medicare567 mi
Edward Moellmer, MD
Family Practice
NPI 1942566195
6640 KANIKSU ST
Bonners Ferry, ID 83805
(208) 267-3141
✔ PECOS✔ Accepts Medicare585 mi
Dawn Lovisa, FNP
Nurse Practitioner
NPI 1841212321
835 S MAIN ST PREVEA OCONTO FALLS HEALTH CENTER
Oconto Falls, WI 54154
(920) 846-8187
✔ PECOS✔ Accepts Medicare788 mi
Sharon Inman, N.P.
Nurse Practitioner
NPI 1144220468
4520 S US HIGHWAY 281
Blanco, TX 78606
(830) 833-0510
✔ PECOS1,170 mi
Spencer Fey, FNP-BC
Nurse Practitioner
NPI 1326867607
103 BALBRIGGAN DR
Goose Creek, SC 29445
(843) 834-1320
✔ PECOS✔ Accepts Medicare1,574 mi
Lisa Langburd, NP
Nurse Practitioner
NPI 1558329664
60 HIGH ST
Lewiston, ME 04240
(207) 753-3900
✔ PECOS✔ Accepts Medicare1,657 mi
Heidi Swift, MSN, FNP-C
Nurse Practitioner
NPI 1730551862
4320 DIPLOMACY DR
Anchorage, AK 99508
(907) 729-3300
✔ PECOS✔ Accepts Medicare2,069 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Fallon Medical Complex Inc's NPI number?

The NPI number for Fallon Medical Complex Inc is 1386700763. It was assigned to this organization in the NPPES registry on December 29, 2006. The provider is doing business as Dba Community Clinic.

Where is Fallon Medical Complex Inc located?

Fallon Medical Complex Inc is located at 202 South 4th Street West, Baker, MT 59313. The listed phone number is (406) 778-2833.

What is Fallon Medical Complex Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Critical Access Hospital, with taxonomy code 261QC0050X.

Is Fallon Medical Complex Inc enrolled in Medicare?

Yes. Fallon Medical Complex Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fallon Medical Complex Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 6 Medicare specialties reassign their Medicare billing to Fallon Medical Complex 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 Nurse Practitioner (6), Family Practice (4) and Physical Therapist in Private Practice (3). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Fallon Medical Complex Inc accept?

Health plans from Blue Cross and Blue Shield of Montana, Providence Health Plan and Sanford Health Plan list Fallon Medical Complex 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 Fallon Medical Complex Inc was last updated on October 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.