Active NPI
St. Vincent Healthcare
Doing business as West Grand Family Medicine
- Primary Care Clinic/Center
- Billings, MT
National Provider Identifier
1780625228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 9717
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 27D0940777 | West Grand Clinic Family Medicine | Certificate of waiver | May 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
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
- St. Vincent Healthcare (Vascular Clinic)
- St. Vincent Healthcare (Living Well)
- St. Vincent Healthcare (Gold Advantage)
- St. Vincent Healthcare (Pediatric Intensivists)
- St. Vincent Healthcare (MT Heart Institute)
- St. Vincent Healthcare (Billings Cardiology)
- St. Vincent Healthcare (Weight Management Clinic-Bozeman)
- St. Vincent Healthcare (St. Vincent Physician Network, Pediatrics)
- St. Vincent Healthcare (SVH Emergency Department)
- St. Vincent Healthcare (SVPN Billings GI)
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.