NPIMap

Organization Active NPI

St. Peter's Health

  • Community Based Hospice Care Agency
  • Helena, MT
National Provider Identifier
1487750618
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
10770 Issued in MT
Legal business name
ST. PETER'S HEALTH
Practice address
201 S California St
Helena, MT 59601-4974
Phone
(406) 444-2244
Fax
(406) 447-2540
NPI assigned
Sep 15, 2006
Last updated
Jan 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Authorized official

Name
Devon Richard Murray
Title
Sr. Director of Revenue Cycle
Phone
(406) 447-2787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 10770 MT Primary

Addresses

Primary practice location

201 S California St
Helena, MT 59601-4974

Mailing address

2475 E Broadway St
Helena, MT 59601-4928
Phone (406) 444-2100

Other identifiers 2

IdentifierTypeStateIssuer
750035MedicaidMT
0000035080OtherMTBCBSMT

Other names 1

  • St. Peter's Hospital Hospice Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070925000141 MT Part A Provider - Hospice 7911814926 Practice locations: Helena, MT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487750618. Details of each certification follow.

Hospice certification: CCN 271501

Legal name
ST PETERS HEALTH
Doing business as
HOMELINK OF ST. PETER'S
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 5, 1987
Last certification
Oct 17, 2019
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Jun 19, 1886 in MT
Enrollment address
201 S California St
Helena, MT 59601-4974

Other NPIs with the same Medicare PAC ID 9

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice of St Peters Comm HospCCN 271501 · All quality measures
Ownership
Non-Profit
Certified
Oct 5, 1987
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
St Peters Health15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

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
Jessica a Bailey Individual W-2 Managing EmployeeMD; Jan 1, 2024
William Northey Individual Corporate Director Jun 1, 2011
Nathan M Coburn Individual Corporate Officer Jun 1, 2018
Guy Almquist Individual Corporate Director Jun 1, 2012
George Bell Individual Corporate DirectorBoard Chairman Aug 1, 2018
Devon Murray Individual W-2 Managing EmployeeDirector of Revenue Cycle Jun 1, 2017
Janice Spencer Individual W-2 Managing EmployeeAd; Jan 1, 2024

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1487750618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 E BROADWAY ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014928",
            "telephone_number": "406-444-2100",
            "fax_number": "406-444-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S CALIFORNIA ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014974",
            "telephone_number": "406-444-2244",
            "fax_number": "406-447-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PETER'S HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "DEVON",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "SR. DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "406-447-2787"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MT",
            "license": "10770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "750035",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMT",
            "identifier": "0000035080",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Peter's Hospital Hospice",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "St. Peter's Hospital Hospice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.