Organization Active NPI

St. Vincent Healthcare

Doing business as SVPN Montana Nephrology

  • Clinic/Center
  • Billings, MT
National Provider Identifier
1356785331
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
13258 Issued in MT
Legal business name
ST. VINCENT HEALTHCARE
Doing business as
SVPN Montana Nephrology
Practice address
2411 Village LN
Billings, MT 59102-2491
Phone
(406) 248-5511
Fax
(406) 248-5540
NPI assigned
Apr 22, 2013
Last updated
Sep 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Authorized official

Name
Jason L Barker
Title
Ceo
Phone
(406) 237-4008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 13258 MT Primary

Addresses

Primary practice location

2411 Village LN
Billings, MT 59102-2491

Mailing address

2411 Village LN
Billings, MT 59102-2491
Phone (406) 248-5511

Other names 1

  • SVPN Montana Nephrology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1356785331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 VILLAGE LN",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591022491",
            "telephone_number": "406-248-5511",
            "fax_number": "406-248-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 VILLAGE LN",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591022491",
            "telephone_number": "406-248-5511",
            "fax_number": "406-248-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-22",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "BARKER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-237-4008"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MT",
            "license": "13258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SVPN Montana Nephrology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.

Verify at the official NPI Registry.