St Lukes Community Hospital
Organization Active NPI Urgent Care Clinic/Center · Ronan, MT
NPI 1154566271 · NPPES record last updated Jan 14, 2025
Key facts
- NPI
- 1154566271
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- ST LUKES COMMUNITY HOSPITAL
- Practice address
- 107 6TH Ave SW
Ronan, MT 59864-2634 - Phone
- (406) 676-4441
- Fax
- (406) 676-0835
- NPI assigned
- Dec 3, 2008
- Organization subpart
- No
Authorized official
- Name
- Ms. Liane Clairmont
- Title
- Executive Assistant
- Phone
- (406) 676-4441
Other NPIs on the same Medicare enrollment 5
Practitioners 38
-
Phillip S Anuta, DO
-
Stacey Marie Burdett, FNP-BC
-
Nick Cade Cantrell, M.D.
-
Michael Cathey, M.D.
-
Earl Michael Chester, M.D.
-
James G Clough, DPM
-
Anders Engdahl, M.D.
-
Richard Friedman, M.D.
-
Benjamin D Grass, M.D.
-
B. Frank Gray III, M.D.
-
Mark D Harding, MD
-
Michael Henson, M.D.
-
Zachary J Hovorka, D.O.
-
Bruce Devin Mikesell, M.D.
-
Joan Abi Nutt, M.D.
-
David Springs, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031121000276 | MT | Part B Supplier - Clinic/Group Practice | 5496659567 |
Receives reassigned benefits from 88 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Polson, MT; Ronan, MT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
107 6TH Ave SW
Ronan, MT 59864-2634
Mailing address
107 6TH Ave SW
Ronan, MT 59864-2634
Phone (406) 676-4441
Other names
- St. Luke Community Covenient Care Clinic
Other providers in Ronan, MT
- James Schrock
- Kiera Elaine Sias
- Terrace Raymond Sias
- Marcus Andrew Simonich
- David Springs
- St Lukes Community Hospital
- St Lukes Community Hospital
- St Lukes Community Hospital
- St Lukes Community Hospital
- St Lukes Community Hospital
All providers in Ronan, MT · Urgent Care Clinic/Center in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.