Provider Demographics
NPI:1376787770
Name:COMMUNITY HEALTH PARTNERS, INC
Entity Type:Organization
Organization Name:COMMUNITY HEALTH PARTNERS, INC
Other - Org Name:COMMUNITY HEALTH PARTNERS - BOZEMAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:HALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-222-1111
Mailing Address - Street 1:112 W LEWIS ST
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:MT
Mailing Address - Zip Code:59047-3011
Mailing Address - Country:US
Mailing Address - Phone:406-823-6304
Mailing Address - Fax:406-823-6305
Practice Address - Street 1:1695 TSCHACHE LANE
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-2142
Practice Address - Country:US
Practice Address - Phone:406-222-1111
Practice Address - Fax:406-823-6305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-29
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT271813Medicare Oscar/Certification