Organization Active NPI

St. Vincent Healthcare

  • Clinic/Center
  • Billings, MT
National Provider Identifier
1376584839
Registry record updated Feb 26, 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
Practice address
2900 12TH Avenue North
Suite 265W
Billings, MT 59101-7501
Phone
(406) 237-7125
Fax
(406) 237-7190
NPI assigned
Jun 8, 2006
Organization subpart
Yes
Parent organization
ST. VINCENT HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Authorized official

Name
John C Kinna
Title
Executive Director
Phone
(406) 237-3061

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 9717 MT
Clinic/Center 261Q00000X 13258 MT Primary

Addresses

Primary practice location

2900 12TH Avenue North
Suite 265W
Billings, MT 59101-7501

Mailing address

2900 12TH Avenue North
Suite 265W
Billings, MT 59101-7501
Phone (406) 237-7999

Other names 1

  • SVPN Dermatology 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
Part of
St Vincent Hopsital H

Locations

1232 N 30th St
Ste 3
Billings, MT 59101

2900 12th Ave N
Ste 265W
Billings, MT 59101
Phone (406) 237-7999

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1376584839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 12TH AVENUE NORTH",
            "address_2": "SUITE 265W",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591017501",
            "telephone_number": "406-237-7999",
            "fax_number": "406-237-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 12TH AVENUE NORTH",
            "address_2": "SUITE 265W",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591017501",
            "telephone_number": "406-237-7125",
            "fax_number": "406-237-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT HEALTHCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. VINCENT HEALTHCARE",
        "enumeration_date": "2006-06-08",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "KINNA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "406-237-3061"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MT",
            "license": "9717",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MT",
            "license": "13258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SVPN Dermatology",
            "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 Feb 26, 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.