Provider Demographics
NPI:1467169524
Name:PARTNERSHIP HEALTH CENTER INC
Entity Type:Organization
Organization Name:PARTNERSHIP HEALTH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHALMERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-258-4445
Mailing Address - Street 1:401 RAILROAD ST W
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59802-4178
Mailing Address - Country:US
Mailing Address - Phone:406-258-4122
Mailing Address - Fax:406-258-4732
Practice Address - Street 1:1215 PHILLIPS ST
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802-2379
Practice Address - Country:US
Practice Address - Phone:406-241-5012
Practice Address - Fax:406-258-4732
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PARTNERSHIP HEALTH CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-10-28
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)