Active NPI
St Lukes Community Hospital
- Skilled Nursing Facility
- Ronan, MT
On this page
- Key facts
- Authorized official
- Owners & managing parties with NPI records2
- Other NPIs with the same Medicare PAC ID7
- Practitioners59
- Affiliated clinicians1
- Care Compare: Nursing home
- Medicare participation
- All disclosed owners & managing parties10
- National Provider Directory
- Specialties & licenses1
- Addresses
- Other identifiers1
- Other names1
- NPI Registry JSON
- Other providers in Ronan, MT
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ST LUKES COMMUNITY HOSPITAL
- Practice address
- 107 6TH Ave SW
Ronan, MT 59864-2634 - Phone
- (406) 676-4441
- Fax
- (406) 676-0835
- NPI assigned
- Dec 15, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. Steven J Todd
- Title
- Ceo
- Phone
- (406) 676-4441
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Ronan, MT
- NPI 1821672718
Adp of the SNF, Operational/Managerial Control
Other NPIs with the same Medicare PAC ID 7
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Certified Registered Nurse Anesthetist
- Ronan, MT
- NPI 1518663608
5496659567
Practitioners 59
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Ronan, MT
- NPI 1396491155
-
- Physician Assistant
- Ronan, MT
- NPI 1417029059
-
- Emergency Medicine Physician
- Ronan, MT
- NPI 1396308789
-
- Social Worker
- Ronan, MT
- NPI 1528710233
-
- Diagnostic Radiology Physician
- Kalispell, MT
- NPI 1750452983
-
- Family Medicine Physician
- Polson, MT
- NPI 1437680758
-
- Family Medicine Physician
- Ronan, MT
- NPI 1447630868
-
- Nurse Practitioner
- Ronan, MT
- NPI 1073208757
-
- Diagnostic Radiology Physician
- Kalispell, MT
- NPI 1114185303
-
- Neuroradiology Physician
- Kalispell, MT
- NPI 1952371023
-
- Physician Assistant
- St. Ignatius, MT
- NPI 1639322191
-
- Internal Medicine Physician
- Kalispell, MT
- NPI 1548267347
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
Care Compare: Nursing home
Medicare Care Compare- Listed as
- St Luke Community Nursing Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Dec 4, 1978
- Medicare certification status
- Active
- Certified beds
- 75
- Penalties (3 years)
- 1
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Skilled nursing facility certification: CCN 275093
- Legal name
- ST LUKES COMMUNITY HOSPITAL
- Doing business as
- ST LUKE COMMUNITY HOSPITAL AND NURSING HOME
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 4, 1978
- Last certification
- Mar 27, 2025
- Beds
- 75
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Mar 6, 1945 in MT
- Enrollment address
- 107 6TH Ave SW
Ronan, MT 59864-2634 - Nursing home name
- ST LUKE COMMUNITY NURSING HOME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060316000368 | MT | Part A Provider - Skilled Nursing Facility | 5496659567 | Practice locations: Ronan, MT |
All disclosed owners & managing parties 10
Medicare enrollment filesAs disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Jay Matthew Perret | Operational/Managerial Control | Jan 1, 2026 | |
| Adp of the SNF | Jan 1, 2026 | ||
| Megan a Vigil | Corporate Officer | Jan 1, 2026 | |
| Leah Emerson | Corporate Director | Jan 1, 2022 | |
| Martin M Olsson | Corporate Director | Jan 1, 1989 | |
| Jason M Adams | Corporate Director | Nov 1, 2023 | |
| Holly Castor | Corporate Director | Jan 1, 1992 | |
| Steven J Todd | Corporate Director | Sep 1, 2013 | |
| Operational/Managerial Control | Sep 1, 2013 | ||
| Adp of the SNF | Mar 30, 2026 | ||
| August T Pavlock | Corporate Director | Jul 1, 2012 | |
| Philip Grainey | Corporate Director | Jan 1, 1986 | |
| Jennifer McGinnis | Corporate Director | Jan 1, 2011 |
National Provider Directory
National Provider Directory- Tax ID family
- St Luke Comm Healthcare
Other organizations with this tax ID 7
Organizations that report the same tax identification number in the National Provider Directory.
-
- Critical Access Hospital
- Ronan, MT
- NPI 1336213446
-
- Certified Registered Nurse Anesthetist
- Ronan, MT
- NPI 1518663608
-
- Rural Health Clinic/Center
- Polson, MT
- NPI 1548612096
-
- Oxygen Equipment & Supplies (DME)
- Ronan, MT
- NPI 1588726483
-
- Community/Retail Pharmacy
- Ronan, MT
- NPI 1861388662
-
- Physical Therapy Clinic/Center
- Polson, MT
- NPI 1225585532
-
- Rural Health Clinic/Center
- St. Ignatius, MT
- NPI 1306911169
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
107 6TH Ave SW
Ronan, MT 59864-2634
Mailing address
107 6TH Ave SW
Ronan, MT 59864-2634
Phone (406) 676-4441
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0310765 | Medicaid | MT |
Other names 1
NPPES NPI Registry- St. Luke Community Nursing Home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 30, 2023.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698624000000",
"number": "1396807293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 6TH AVE SW",
"city": "RONAN",
"state": "MT",
"postal_code": "598642634",
"telephone_number": "406-676-4441",
"fax_number": "406-676-0835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 6TH AVE SW",
"city": "RONAN",
"state": "MT",
"postal_code": "598642634",
"telephone_number": "406-676-4441",
"fax_number": "406-676-0835"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST LUKES COMMUNITY HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-15",
"last_updated": "2023-10-30",
"certification_date": "2023-09-28",
"status": "A",
"authorized_official_last_name": "TODD",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "406-676-4441",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0310765",
"state": "MT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "St. Luke Community Nursing Home",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "St. Luke Community Nursing Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ronan, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.