NPIMap

Organization Active NPI

St Peters Hospital

Doing business as Family Health Clinic

  • Family Medicine Physician
  • Helena, MT
National Provider Identifier
1154435055
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ST PETERS HOSPITAL
Doing business as
Family Health Clinic
Practice address
820 N Montana Avenue
Family Health Clinic
Helena, MT 59601
Phone
(406) 447-2841
Fax
(406) 443-7067
NPI assigned
Aug 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert D Gomes, FACHE
Title
Vice President of Physician Service
Phone
(406) 447-2812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

820 N Montana Avenue
Family Health Clinic
Helena, MT 59601

Mailing address

PO Box 6369
St Peters Hospital Physician Billing
Helena, MT 59604
Phone (406) 447-2828

Other names 1

  • Family Health Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031204001245 MT Part B Supplier - Clinic/Group Practice 7911814926 Receives reassigned benefits from 358 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Helena, MT; Townsend, MT; Butte, MT

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154435055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6369",
            "address_2": "ST PETERS HOSPITAL PHYSICIAN BILLING",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "59604",
            "telephone_number": "406-447-2828",
            "fax_number": "406-447-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N MONTANA AVENUE",
            "address_2": "FAMILY HEALTH CLINIC",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "59601",
            "telephone_number": "406-447-2841",
            "fax_number": "406-443-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST PETERS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOMES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT OF PHYSICIAN SERVICE",
        "authorized_official_telephone_number": "406-447-2812",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FACHE"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.