Active NPI
Helena Surgicenter, LLC
- Ambulatory Surgical Clinic/Center
- Helena, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 10469
- Legal business name
- HELENA SURGICENTER, LLC
- Practice address
- 2440 Winne Ave
Suite 100
Helena, MT 59601-4905 - Phone
- (406) 457-4200
- Fax
- (406) 457-4220
- NPI assigned
- Dec 8, 2005
- Last updated
- Apr 20, 2008
- 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
- Mrs. Kathy L Hubley
- Title
- Finance Director
- Phone
- (406) 457-4203
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 10469 | MT | Primary |
Addresses
Primary practice location
2440 Winne Ave
Suite 100
Helena, MT 59601-4905
Mailing address
2440 Winne Ave
Suite 100
Helena, MT 59601-4905
Phone (406) 457-4200
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60402 | Other | MT | BLUE CROSS AND BLUE SHIEL |
| 96271003 | Other | MT | MT. BREAST & CERV. HLTH P |
| 0126583 | Other | WA | WASHINGTON WC |
| 7122104 | Medicaid | WA | |
| 0000350353 | Medicaid | MT | |
| MSF0522205 | Other | MT | MONTANA STATE FUND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100205000018 | MT | Part B Supplier - Ambulatory Surgical Center | 3274676713 | Practice locations: Helena, MT |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Helena Surgicenter LLC
- Medicare certification status
- Active
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 |
|---|---|---|---|
| 27D0942290 | Helena Surgicenter LLC | Certificate of waiver | Mar 8, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Hawkins-Lindstrom Clinic
- Family Medicine Physician
- Helena, MT
- NPI 1437162682
Member Of
Locations
2440 Winne Ave
Helena, MT 59601
Phone (406) 457-4200
2440 Winne Ave
#100
Helena, MT 59601
Phone (406) 457-4200
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Certified Registered Nurse Anesthetist
- Great Falls, MT
- NPI 1831165505
-
- Urology Physician
- Helena, MT
- NPI 1437157856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1841275211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2440 WINNE AVE",
"address_2": "SUITE 100",
"city": "HELENA",
"state": "MT",
"postal_code": "596014905",
"telephone_number": "406-457-4200",
"fax_number": "406-457-4220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2440 WINNE AVE",
"address_2": "SUITE 100",
"city": "HELENA",
"state": "MT",
"postal_code": "596014905",
"telephone_number": "406-457-4200",
"fax_number": "406-457-4220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HELENA SURGICENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-08",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "HUBLEY",
"authorized_official_first_name": "KATHY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "FINANCE DIRECTOR",
"authorized_official_telephone_number": "406-457-4203",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "MT",
"license": "10469",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIEL",
"identifier": "60402",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MT. BREAST & CERV. HLTH P",
"identifier": "96271003",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON WC",
"identifier": "0126583",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7122104",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000350353",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MONTANA STATE FUND",
"identifier": "MSF0522205",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Helena, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.