Organization Active NPI

St. John'S Lutheran Hospital, Inc

  • Specialty Pharmacy
  • Libby, MT
National Provider Identifier
1285203257
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
ST. JOHN'S LUTHERAN HOSPITAL, INC
Doing business as
CABINET PEAKS MEDICAL CENTER
Practice address
209 Health Park Dr
Libby, MT 59923-2001
Phone
(406) 283-7189
Fax
(406) 293-2453
NPI assigned
Jun 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Authorized official

Name
Julie L Leonard
Title
Cfo
Phone
(406) 283-7219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

209 Health Park Dr
Libby, MT 59923-2001

Mailing address

209 Health Park Dr
Libby, MT 59923-2001
Phone (406) 283-7189

Other names 1

  • CABINET PEAKS MEDICAL CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kootenai Internal Medic4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1285203257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 HEALTH PARK DR",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232001",
            "telephone_number": "406-283-7189",
            "fax_number": "406-293-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 HEALTH PARK DR",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232001",
            "telephone_number": "406-283-7189",
            "fax_number": "406-293-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN'S LUTHERAN HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-23",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "406-283-7219"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CABINET PEAKS MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CABINET PEAKS MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Libby, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.