St. Vincent Healthcare

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

12129 Issued in MT

Legal business name

ST. VINCENT HEALTHCARE

Practice address

2019 Broadwater Ave
Billings, MT 59102-4810

Phone

(406) 237-5200

Fax

(406) 237-5205

NPI assigned

Aug 12, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jason L Barker

Title

President/Ceo

Phone

(406) 237-3071

Specialties & licenses 1

Addresses

Other names 1

• St. Vincent Physician Network, Broadwater Doing business as

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Sisters of Charity of Leavenworth Health System Inc

  • Institutional Pharmacy
  • Wheat Ridge, CO
  • NPI 1629515028

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1023397692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 BROADWATER AVE",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591024810",
            "telephone_number": "406-237-5200",
            "fax_number": "406-237-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 BROADWATER AVE",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591024810",
            "telephone_number": "406-237-5200",
            "fax_number": "406-237-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "BARKER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "406-237-3071"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MT",
            "license": "12129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Vincent Physician Network, Broadwater",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St Vincent Healthcare Transitional Care Unit
• St. John'S Lutheran Ministries Inc
• St. John'S Lutheran Ministries Inc
• St. John'S United
• St. Vincent Healthcare
• St. Vincent Healthcare
• St. Vincent Healthcare
• St. Vincent Healthcare
• St. Vincent Healthcare
• St. Vincent Healthcare

• Clinic/Center in Billings, MT
• Providers in Billings, MT by specialty
• Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.