NPIMap

Organization Active NPI

St Lukes Community Hospital

Doing business as St. Luke Community Nursing Home

  • Skilled Nursing Facility
  • Ronan, MT
National Provider Identifier
1396807293
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ST LUKES COMMUNITY HOSPITAL
Doing business as
St. Luke Community Nursing Home
Practice address
107 6TH Ave SW
Ronan, MT 59864-2634
Phone
(406) 676-4441
Fax
(406) 676-0835
NPI assigned
Dec 15, 2006
Last updated
Oct 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Mr. Steven J Todd
Title
Ceo
Phone
(406) 676-4441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary 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

IdentifierTypeStateIssuer
0310765MedicaidMT

Other names 1

  • St. Luke Community Nursing Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060316000368 MT Part A Provider - Skilled Nursing Facility 5496659567 Practice locations: Ronan, MT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396807293. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Mar 6, 1945 in MT
Enrollment address
107 6TH Ave SW
Ronan, MT 59864-2634
Nursing home name
ST LUKE COMMUNITY NURSING HOME

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
St Luke Community Nursing HomeCCN 275093 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Dec 4, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7536.7 residents per day on average
Penalties (3 years)
1Fines totaling $44,252

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
St Luke Health Care Net8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jay Matthew Perret Individual Operational/Managerial Control Jan 1, 2026
Adp of the SNF Jan 1, 2026
Megan a Vigil Individual Corporate OfficerBoard Member Jan 1, 2026
Leah Emerson Individual Corporate DirectorBoard Vice Chair Jan 1, 2022
Martin M Olsson Individual Corporate DirectorBoard Member Jan 1, 1989
Jason M Adams Individual Corporate DirectorBoard Member Nov 1, 2023
Holly Castor Individual Corporate DirectorBoard Member Jan 1, 1992
Steven J Todd Individual Corporate DirectorBoard Member/Ceo Sep 1, 2013
Operational/Managerial Control Sep 1, 2013
Adp of the SNF Mar 30, 2026
August T Pavlock Individual Corporate DirectorBoard Member Jul 1, 2012
Philip Grainey Individual Corporate DirectorBoard Secretary Jan 1, 1986
Jennifer McGinnis Individual Corporate DirectorBoard Chair Jan 1, 2011

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "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

Verify at the official NPI Registry.