St. Vincent Healthcare
Organization Active NPI Primary Care Clinic/Center · Worden, MT
NPI 1477594950 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1477594950
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- 9717 (MT)
- Legal business name
- ST. VINCENT HEALTHCARE
- Practice address
- 2469 Main Street
Worden, MT 59088-0246 - Phone
- (406) 967-2255
- Fax
- (406) 967-2251
- NPI assigned
- Jun 8, 2006
- Organization subpart
- No
Authorized official
- Name
- James T. Paquette
- Title
- President Ceo
- Phone
- (406) 237-3071
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 9717 | MT | Yes |
Addresses
Primary practice location
2469 Main Street
Worden, MT 59088-0246
Mailing address
2469 Main Street
P.O. Box 246
Worden, MT 59088-0246
Phone (406) 967-2255
Other names
- Worden Clinic
Other providers in Worden, MT
- Joy A. Eshleman
- Kristen Grimsrud
- Heart of Montana Eldercare LLC
- Amanda D Heppner
- Huntley Project School District
- Worden Fire Department, Inc
- Yellowstone City County Health Department
All providers in Worden, MT · Primary Care Clinic/Center in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.