NPIMap

Organization Active NPI

Northern Montana Hospital

Doing business as Northern Montana Specialty Medical Center

  • Rural Health Clinic/Center
  • Havre, MT
National Provider Identifier
1669445490
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
NORTHERN MONTANA HOSPITAL
Doing business as
Northern Montana Specialty Medical Center
Practice address
20 13TH St W
Havre, MT 59501-5215
Phone
(406) 265-7831
Fax
(406) 265-1651
NPI assigned
Feb 10, 2006
Last updated
Oct 9, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHERN MONTANA HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Authorized official

Name
Kevin Arthur Harada, MDNPI 1760709661
Title
President/Ceo
Phone
(406) 262-1302

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Rural Health Clinic/Center 261QR1300X MT Primary

Addresses

Primary practice location

20 13TH St W
Havre, MT 59501-5215

Mailing address

PO Box 1231
Havre, MT 59501-1231
Phone (406) 265-7831

Other identifiers 3

IdentifierTypeStateIssuer
0720103MedicaidMT
CU0829OtherMTMEDICARE RAILROAD GROUP
000064732OtherMTBLUE CROSS BLUE SHIELD

Other names 1

  • Northern Montana Specialty Medical Center Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031229000278 MT Part B Supplier - Clinic/Group Practice 2264343912 Receives reassigned benefits from 92 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Shelby, MT; Scobey, MT; Malta, MT; Havre, MT; Glasgow, MT; Fort Benton, MT; Cut Bank, MT; Chinook, MT…
O20060306000728 MT Part A Provider - Rural Health Clinic 2264343912 1 other NPI on this enrollment
Practice locations: Havre, MT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669445490. Details of each certification follow.

Rural health clinic certification: CCN 273990

Legal name
NORTHERN MONTANA HOSPITAL
Doing business as
NORTHERN MONTANA SPECIALTY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
May 21, 1999
Last certification
Mar 5, 2025
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Mar 1, 1970 in MT
Enrollment address
20 13TH St W
Havre, MT 59501-5215
Related CCNs
271348

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

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory
Part of
NMH

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
David Leeds Individual Corporate Director Apr 19, 2002
Kim Lucke Individual W-2 Managing Employee Sep 1, 2000
Richard G. Stevens Individual Corporate Director Oct 29, 2013
Miles Hamilton Individual Corporate Director Oct 27, 1992
Northern Montana Hospital Organization, Havre, MT Corporation Operational/Managerial Control Oct 2, 2003
Andrew Carlson Individual Corporate Director Oct 25, 2010
Debra Healy Individual Corporate Director Oct 28, 2014
Kirsten Kammerzell Individual Corporate Director Oct 25, 2016
Karen E Lien Individual Corporate Director Oct 29, 2013
Kevin a Harada Individual Corporate OfficerPresident/Ceo Apr 1, 2025
Jennifer Patrick Individual Corporate Director Mar 29, 2022
Paul Tuss Individual Corporate Director Oct 27, 2009

Owners & managing parties with NPI records 8

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

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bear Paw HospiceHavre, MT, CCN 271516 Hospice Operational/Managerial Control (100%) Dec 12, 1996
Northern Montana Family Medical CenterHavre, MT, CCN 273408 Rural health clinic Operational/Managerial Control Oct 2, 2003

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 36

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 36

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1669445490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1231",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595011231",
            "telephone_number": "406-265-7831",
            "fax_number": "406-265-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 13TH ST W",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595015215",
            "telephone_number": "406-265-7831",
            "fax_number": "406-265-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN MONTANA HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHERN MONTANA HOSPITAL",
        "enumeration_date": "2006-02-10",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "HARADA",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "406-262-1302",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0720103",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP",
            "identifier": "CU0829",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000064732",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Montana Specialty Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northern Montana Specialty Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Havre, MT

Sources for this page

Verify at the official NPI Registry.