Organization Active NPI

St. Vincent Healthcare

Doing business as West Grand Family Medicine

  • Primary Care Clinic/Center
  • Billings, MT
National Provider Identifier
1780625228
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
9717 Issued in MT
Legal business name
ST. VINCENT HEALTHCARE
Doing business as
West Grand Family Medicine
Practice address
2750 Grand Ave
Billings, MT 59102-2629
Phone
(406) 237-4040
Fax
(406) 237-4041
NPI assigned
Jun 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
James T. Paquette
Title
President Ceo
Phone
(406) 237-3071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 9717 MT Primary

Addresses

Primary practice location

2750 Grand Ave
Billings, MT 59102-2629

Mailing address

2750 Grand Ave
Billings, MT 59102-2629
Phone (406) 237-4040

Other names 1

  • West Grand Family Medicine 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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D0940777West Grand Clinic Family Medicine2750 Grand Avenue, Billings, MT 59102Certificate of waiverMay 24, 2027

National Provider Directory

National Provider Directory

Locations

2750 Grand Ave
Billings, MT 59102
Phone (406) 237-4040

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": "1598054400000",
    "number": "1780625228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 GRAND AVE",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591022629",
            "telephone_number": "406-237-4040",
            "fax_number": "406-237-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 GRAND AVE",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591022629",
            "telephone_number": "406-237-4040",
            "fax_number": "406-237-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAQUETTE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT   CEO",
        "authorized_official_telephone_number": "406-237-3071"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MT",
            "license": "9717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Grand Family Medicine",
            "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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.