St Peter'S Medical Group North
Organization Active NPI Family Medicine Physician · Helena, MT
NPI 1477844744 · NPPES record last updated Apr 21, 2011
Key facts
- NPI
- 1477844744
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 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
- Organization subpart
- No
Authorized official
- Name
- John Green
- Title
- VP Finance
- Phone
- (406) 444-2101
Other NPIs on the same Medicare enrollment 12
Related certifications (CCN) 1
Practitioners 81
-
Melissa Abraham, NP-C
-
Deeann M. Allen, MD
-
Anne Maura Anglim, M.D.
-
Marguerite Elizabeth Bristow, DNP, APRN, FNP-C
-
Kendra Brown, NP
-
Kelli C Carman, PA-C
-
Elize Marie Cline, APRN, FNP-BC
-
Andy Bush Coil, DO
-
Meghan Combs, MD
-
Andrew C Cupino, MD
-
Hailey Davis, RDN
-
Sharla J Dosier, NP
-
Emma Dunn, PA-C
-
Amanda Evans, FNP-C
-
Andrew D Fisher, DO
-
Robert J Griffin, PAC
-
Kerry S Hale, M.D.
-
Emily Hedum, DO
-
Kathryn Elise Hurlbut, D.O.
-
Trent S. Jensen, D.O.
-
Robert Allen Johnson, D.O.
Affiliated clinicians 418
-
Luke Abar, CRNA
-
Melissa Abraham, NP-C
-
Kara Marie Addison, DNP-C
-
Sarah M Adsit, PA-C
-
Cynthia M. Alarcon, PA-C
-
John D Andenoro, MD
-
Ashley Anderton, PA
-
Anne Maura Anglim, M.D.
-
Andrew David Ashford, PA-C
-
Michelle M Bailey, PA-C
-
Maryann Elizabeth Beach, MMS, PA-C
-
Mikael Eugene Bedell, M.D.
-
James F Bennett, M.D.
-
Laura Bennett, P.A.
-
Erik Bergquist, M.D.
-
Ashley Joann Berkram, PAC
Medicare Care Compare: Hospital
- Listed as
- St Peters Health
- Overall star rating
- ★★★☆☆ 3 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MT
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
- Corporation · Non-profit
- Incorporated
- Jun 19, 1886 in MT
- Enrollment address
- 2475 E Broadway St
Helena, MT 59601-4928 - Hospital subgroups
- General, Acute care
All disclosed owners & managing parties 7
| Name | Role | Since | Share |
|---|---|---|---|
| Nathan M Coburn |
Corporate Officer |
Jul 30, 2018 | |
| Guy Almquist |
Corporate Director | Jun 1, 2012 | |
| Wade Johnson |
Corporate Officer |
Jul 10, 2017 | |
| Corporate Director |
Jul 10, 2017 | ||
| George Bell |
Corporate Director |
Aug 1, 2018 | |
| Devon Murray |
Corporate Officer | Jan 12, 2018 | |
| W-2 Managing Employee |
Jun 1, 2017 | ||
| Karen Hicks |
Corporate Director | Jun 1, 2013 | |
| Shelly S Harkins |
Corporate Officer |
Mar 15, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Locations
3150 N Montana Ave
Ste A
Helena, MT 59602
Phone (406) 422-5817
2755 Colonial Dr
#2
Helena, MT 59601
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
3330 Ptarmigan LN
Helena, MT 59602-0521
Mailing address
3330 Ptarmigan LN
Helena, MT 59602-0521
Other providers in Helena, MT
- Springhill Wellness Center LLC
- Martin St John
- St Peter'S Health
- St Peter'S Hospital
- St Peter'S Medical Group
- St Peters Community Hospital
- St Peters Community Hospital
- St Peters Community Hospital
- St Peters Community Hospital
- St Peters Health
All providers in Helena, MT · Family Medicine Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2011. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.