St. Vincent Healthcare

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

9717 Issued in MT

Legal business name

ST. VINCENT HEALTHCARE

Doing business as

Caritas Center for Women

Practice address

1648 Ellis St
Suite 201
Bozeman, MT 59715-8810

Phone

(406) 556-4649

Fax

(406) 556-7083

NPI assigned

Jun 8, 2006

Organization subpart

No

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

Authorized official

Name

James T. Paquette

Title

President Ceo

Phone

(406) 237-3071

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Caritas Center for Women Doing business as

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

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": "1407897986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 ELLIS ST",
            "address_2": "SUITE 201",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158810",
            "telephone_number": "406-556-4649",
            "fax_number": "406-556-7083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1648 ELLIS ST",
            "address_2": "SUITE 201",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158810",
            "telephone_number": "406-556-4649",
            "fax_number": "406-556-7083"
        }
    ],
    "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": "PAQUETTE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "406-237-3071"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MT",
            "license": "9717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIRECT PHONE NUMBER",
            "identifier": "4065564649",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caritas Center for Women",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sprout Oral Health
• Joshua Lupine Spuhler, PA-C
• Jeffrey C Squire, OD
• Sarah Jayne St Clair, RDN
• Victoria N. St. Don, D.P.T.
• Carol Burroughs Staben, LCPC
• Danielle Josephine Stack, LCPC
• Evynn Elizabeth Stagg
• Allyssa Staker, MS, SWLC
• Shannon Staley

• Clinic/Center in Bozeman, MT
• Providers in Bozeman, 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.