Organization Active NPI

Helena Surgicenter, LLC

  • Ambulatory Surgical Clinic/Center
  • Helena, MT
National Provider Identifier
1841275211
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
10469 Issued in MT
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
60402OtherMTBLUE CROSS AND BLUE SHIEL
96271003OtherMTMT. BREAST & CERV. HLTH P
0126583OtherWAWASHINGTON WC
7122104MedicaidWA
0000350353MedicaidMT
MSF0522205OtherMTMONTANA STATE FUND

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCCCN 27C0001014
Medicare certification status
ActiveFrom the Provider of Services file

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
27D0942290Helena Surgicenter LLC2440 Winne Avenue, Suite 100, Helena, MT 59601Certificate of waiverMar 8, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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.

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.

Verify at the official NPI Registry.