NPIMap

Organization Active NPI

St Peter's Medical Group North

  • Family Medicine Physician
  • Helena, MT
National Provider Identifier
1477844744
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ST PETER'S MEDICAL GROUP NORTH
Practice address
3330 Ptarmigan LN
Helena, MT 59602-0521
Phone
(406) 495-6600
NPI assigned
Apr 21, 2011
Last updated
Apr 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Authorized official

Name
John Green
Title
VP Finance
Phone
(406) 444-2101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3330 Ptarmigan LN
Helena, MT 59602-0521

Mailing address

3330 Ptarmigan LN
Helena, MT 59602-0521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031204001245 MT Part B Supplier - Clinic/Group Practice 7911814926 Receives reassigned benefits from 358 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Helena, MT; Townsend, MT; Butte, MT
O20031217000637 MT Part A Provider - Hospital 7911814926 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Helena, MT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477844744. Details of each certification follow.

Hospital certification: CCN 270003

Legal name
ST PETERS HEALTH
Doing business as
ST PETERS HEALTH
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 3, 2017
Beds
99
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jun 19, 1886 in MT
Enrollment address
2475 E Broadway St
Helena, MT 59601-4928
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
St Peters HealthCCN 270003 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Nathan M Coburn Individual Corporate OfficerCfo Jul 30, 2018
Guy Almquist Individual Corporate Director Jun 1, 2012
Wade Johnson Individual Corporate OfficerCeo Jul 10, 2017
Corporate DirectorCeo Jul 10, 2017
George Bell Individual Corporate DirectorBoard Chair Aug 1, 2018
Devon Murray Individual Corporate Officer Jan 12, 2018
W-2 Managing EmployeeSr Director of Revenue Cycle Jun 1, 2017
Karen Hicks Individual Corporate Director Jun 1, 2013
Shelly S Harkins Individual Corporate OfficerCmo Mar 15, 2017

Practitioners & affiliated clinicians

Practitioners 81

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 81

Affiliated clinicians 418

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

View all 418

NPI Registry JSON

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1477844744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 PTARMIGAN LN",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596020521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 PTARMIGAN LN",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596020521",
            "telephone_number": "406-495-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST PETER'S MEDICAL GROUP NORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "406-444-2101"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.