Organization Active NPI

St. Vincent Healthcare

Doing business as St. Vincent Physician Network - Physiatry

  • Physical Medicine & Rehabilitation Physician
  • Billings, MT
National Provider Identifier
1558302018
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
13258 Issued in MT
Legal business name
ST. VINCENT HEALTHCARE
Doing business as
St. Vincent Physician Network - Physiatry
Practice address
2900 12TH Avenue North
Suite 201E
Billings, MT 59101-7503
Phone
(406) 237-7125
Fax
(406) 237-7190
NPI assigned
Jun 8, 2006
Last updated
Aug 7, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. VINCENT HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Authorized official

Name
Steve M Loveless
Title
Ceo/President
Phone
(406) 237-3071

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208100000X 9717 MT
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208100000X 13258 MT Primary

Addresses

Primary practice location

2900 12TH Avenue North
Suite 201E
Billings, MT 59101-7503

Mailing address

2900 12TH Avenue North
Suite 201E
Billings, MT 59101-7503
Phone (406) 237-7125

Other names 1

  • St. Vincent Physician Network - Physiatry Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory
Part of
Lance Monroe MD

Locations

2900 12th Ave N
Ste 201E
Billings, MT 59101
Phone (406) 237-7125

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1558302018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 12TH AVENUE NORTH",
            "address_2": "SUITE 201E",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591017503",
            "telephone_number": "406-237-7125",
            "fax_number": "406-237-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 12TH AVENUE NORTH",
            "address_2": "SUITE 201E",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591017503",
            "telephone_number": "406-237-7125",
            "fax_number": "406-237-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT HEALTHCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. VINCENT HEALTHCARE",
        "enumeration_date": "2006-06-08",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "LOVELESS",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "406-237-3071"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MT",
            "license": "9717",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MT",
            "license": "13258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Vincent Physician Network - Physiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.