NPIMap

Organization Active NPI

Northern Montana Hospital

Doing business as Northern Montana Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Havre, MT
National Provider Identifier
1700859923
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
11041 Issued in MT
Legal business name
NORTHERN MONTANA HOSPITAL
Doing business as
Northern Montana Dialysis
Practice address
30 13TH St
Havre, MT 59501-5222
Phone
(406) 262-1302
Fax
(406) 265-1651
NPI assigned
Feb 8, 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
Dr. Kevin A. Harada, M.D.
Title
President/Ceo
Phone
(406) 262-1302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 11041 MT Primary

Addresses

Primary practice location

30 13TH St
Havre, MT 59501-5222

Mailing address

PO Box 1231
Havre, MT 59501-1231
Phone (406) 262-1302

Other identifiers 2

IdentifierTypeStateIssuer
000060242OtherMTBLUE CROSS BLUE SHIELD
0730014MedicaidMT

Other names 1

  • Northern Montana Dialysis Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060306000684 MT Part A Provider - End-Stage Renal Disease Facility (ESRD) 2264343912 Practice locations: Havre, MT

Other NPIs with the same Medicare PAC ID 6

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

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Northern Montana Hospital Dialysis UnitCCN 272305
Overall star rating
1.0 of 5
Ownership
Non-profit
Certified
Nov 30, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
7

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

National Provider Directory

National Provider Directory
Tax ID family
Nothern Montana Hosp8 organizations share this tax ID, including this one
Part of
Nothern Montana Hosp

Other organizations with this tax ID 7

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

Ownership & related parties

All facility ownership & control disclosures 3

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
Northern Montana Specialty Medical CenterHavre, MT, CCN 273990 Rural health clinic Operational/Managerial Control Oct 2, 2003

Owned or controlled facilities with NPI records 4

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

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

Affiliated clinicians 2

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": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1700859923",
    "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": "406-262-1302",
            "fax_number": "406-265-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 13TH ST",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595015222",
            "telephone_number": "406-262-1302",
            "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": "2006-02-08",
        "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": "A.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "406-262-1302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "MT",
            "license": "11041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000060242",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0730014",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Montana Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northern Montana Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Havre, MT

Sources for this page

Verify at the official NPI Registry.