Organization Active NPI

St Patrick Hosp & Health Sci Ctr

  • Family Medicine Physician
  • St Ignatius, MT
National Provider Identifier
1629389705
Registry record updated Feb 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ST PATRICK HOSP & HEALTH SCI CTR
Practice address
35773 Airport Rd
St Ignatius, MT 59865-9001
Phone
(406) 745-8765
Fax
(406) 745-8768
NPI assigned
Jun 23, 2010
Organization subpart
Yes
Parent organization
ST PATRICK HOSP & HEALTH SCI CTRAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 25, 2011

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

Authorized official

Name
Teri Masters
Title
RCM Operations MGR
Phone
(406) 329-5795

Specialties & licenses 1

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

Addresses

Primary practice location

35773 Airport Rd
St Ignatius, MT 59865-9001

Mailing address

PO Box 34439
Seattle, WA 98124-1439
Phone (406) 329-5795

Other names 1

  • Mission Valley Health Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031229000787 MT Part B Supplier - Clinic/Group Practice 6608786306 Receives reassigned benefits from 382 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: Missoula, MT; Plains, MT; Polson, MT; St Ignatius, MT; Stevensville, MT; Anaconda, MT; Butte, MT; Corvallis, MT…

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NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298592000000",
    "number": "1629389705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34439",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241439",
            "telephone_number": "406-329-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35773 AIRPORT RD",
            "city": "ST IGNATIUS",
            "state": "MT",
            "postal_code": "598659001",
            "telephone_number": "406-745-8765",
            "fax_number": "406-745-8768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST PATRICK HOSP & HEALTH SCI CTR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST PATRICK HOSP & HEALTH SCI CTR",
        "enumeration_date": "2010-06-23",
        "last_updated": "2011-02-25",
        "status": "A",
        "authorized_official_last_name": "MASTERS",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "RCM OPERATIONS MGR",
        "authorized_official_telephone_number": "406-329-5795"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Valley Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Ignatius, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; 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.