Organization Active NPI

St. John'S Lutheran Hospital, Inc

  • Home Health Agency
  • Libby, MT
National Provider Identifier
1831242577
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
10882 Issued in MT
Legal business name
ST. JOHN'S LUTHERAN HOSPITAL, INC
Practice address
350 Louisiana Ave
Libby, MT 59923-2130
Phone
(406) 293-0100
Fax
(406) 293-2453
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Authorized official

Name
Cathy Wolfe
Title
VP of Nursing
Phone
(406) 293-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 10882 MT Primary

Addresses

Primary practice location

350 Louisiana Ave
Libby, MT 59923-2130

Mailing address

350 Louisiana Ave
Libby, MT 59923-2130
Phone (406) 293-0100

Other identifiers 2

IdentifierTypeStateIssuer
740181MedicaidMT
31031OtherMTBLUE CROSS HOME HEALTH

National Provider Directory

National Provider Directory

Locations

350 Louisiana Ave
Libby, MT 59923
Phone (406) 283-7000

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1831242577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 LOUISIANA AVE",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232130",
            "telephone_number": "406-293-0100",
            "fax_number": "406-293-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 LOUISIANA AVE",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232130",
            "telephone_number": "406-293-0100",
            "fax_number": "406-293-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN'S LUTHERAN HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "VP OF NURSING",
        "authorized_official_telephone_number": "406-293-0100"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MT",
            "license": "10882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "740181",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS HOME HEALTH",
            "identifier": "31031",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Libby, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.