Active NPI
St. Vincent Healthcare
Doing business as St. Vincent Physician Network Big Sky OB/GYN
- Obstetrics & Gynecology Physician
- Billings, MT
National Provider Identifier
1316371933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- ST. VINCENT HEALTHCARE
- Doing business as
- St. Vincent Physician Network Big Sky OB/GYN
- Practice address
- 2900 12TH Ave N
Suite 245W
Billings, MT 59101-7506 - Phone
- (406) 238-6010
- Fax
- (406) 238-6022
- NPI assigned
- Aug 30, 2013
- Last updated
- Dec 4, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John C Kinna
- Title
- SVPN Executive Director
- Phone
- (406) 237-4009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
2900 12TH Ave N
Suite 245W
Billings, MT 59101-7506
Mailing address
2900 12TH Ave N
Suite 245W
Billings, MT 59101-7506
Phone (406) 238-6010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13258 | Other | MT | LICENSE |
Other names 1
- St. Vincent Physician Network Big Sky OB/GYN
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031229000380 | MT | Part B Supplier - Clinic/Group Practice | 3476457714 |
Receives reassigned benefits from 195 practitioners This NPI is an additional NPI on the enrollment Practice locations: Red Lodge, MT; Miles City, MT; Bozeman, MT; Billings, MT |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Intermountain Specialty Pharmacy - Denver
- Institutional Pharmacy
- Denver, CO
- NPI 1356898274
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386115200000",
"number": "1316371933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 12TH AVE N",
"address_2": "SUITE 245W",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591017506",
"telephone_number": "406-238-6010",
"fax_number": "406-238-6022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 12TH AVE N",
"address_2": "SUITE 245W",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591017506",
"telephone_number": "406-238-6010",
"fax_number": "406-238-6022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. VINCENT HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-30",
"last_updated": "2013-12-04",
"status": "A",
"authorized_official_last_name": "KINNA",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "SVPN EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "406-237-4009"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "13258",
"state": "MT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "St. Vincent Physician Network Big Sky OB/GYN",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Billings, MT
- St. Vincent Healthcare (St. Vincent Medical Supply & Mobility)
- St. Vincent Healthcare (St. VIncent Physician Network, Ear Nose & Throat)
- St. Vincent Healthcare (Northern Rockies Regional Pain Center)
- St. Vincent Healthcare (Center for Health and Healing)
- St. Vincent Healthcare
- St. Vincent Healthcare (Broadwater Walk-In Clinic)
- St. Vincent Healthcare (SVPN Montana Nephrology)
- St. Vincent Healthcare (SVPN Dermatology)
- St. Vincent Healthcare
- St. Vincent Healthcare (SVH Walk In Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; 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.