St. Vincent Healthcare

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

9717 Issued in MT

Legal business name

ST. VINCENT HEALTHCARE

Doing business as

Broadwater Walk-In Clinic

Practice address

2019 Broadwater Ave
Billings, MT 59102-4810

Phone

(406) 237-8550

Fax

(406) 237-8551

NPI assigned

Jun 8, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jack E. Bell

Title

Executive Vice President/Coo

Phone

(406) 237-3061

Specialties & licenses 1

Addresses

Other names 1

• Broadwater Walk-In Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336180801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 N 30TH ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591010127",
            "telephone_number": "406-237-7000"
        },
        {
            "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": "406-237-8550",
            "fax_number": "406-237-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT/COO",
        "authorized_official_telephone_number": "406-237-3061"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MT",
            "license": "9717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadwater Walk-In Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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 (St. Vincent Physician Network Big Sky OB/GYN)
• St. Vincent Healthcare (SVPN Montana Nephrology)
• St. Vincent Healthcare (SVPN Dermatology)
• St. Vincent Healthcare
• St. Vincent Healthcare (SVH Walk In Clinic)
• St. Vincent Healthcare (St. Vincent Physician Network , Long Term Care)

• 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 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.