Active NPI
St. John'S Lutheran Hospital, Inc
- Community Based Hospice Care Agency
- Libby, MT
National Provider Identifier
1841342011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 10263
- Legal business name
- ST. JOHN'S LUTHERAN HOSPITAL, INC
- Doing business as
- St. John's Hospice
- Practice address
- 313 Montana Ave
Libby, MT 59923-2037 - Phone
- (406) 283-7000
- Fax
- (406) 293-2262
- NPI assigned
- Jan 17, 2007
- Organization subpart
- Yes
- Parent organization
- ST. JOHN'S LUTHERAN HOSPITAL, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barbara Dumont
- Title
- VP Community Services
- Phone
- (406) 283-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 10263 | MT | Primary |
Addresses
Primary practice location
313 Montana Ave
Libby, MT 59923-2037
Mailing address
350 Louisiana Ave
Libby, MT 59923-2130
Phone (406) 283-7000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350120 | Other | MT | BLUE CROSS HOSPICE |
| 750142 | Medicaid | MT |
Other names 1
- St. John's Hospice
National Provider Directory
National Provider Directory- Part of
- Kootenai Internal Medic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331856000000",
"number": "1841342011",
"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": "406-283-7000",
"fax_number": "406-293-2262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 MONTANA AVE",
"city": "LIBBY",
"state": "MT",
"postal_code": "599232037",
"telephone_number": "406-283-7000",
"fax_number": "406-293-2262"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. JOHN'S LUTHERAN HOSPITAL, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ST. JOHN'S LUTHERAN HOSPITAL, INC.",
"enumeration_date": "2007-01-17",
"last_updated": "2012-03-16",
"status": "A",
"authorized_official_last_name": "DUMONT",
"authorized_official_first_name": "BARBARA",
"authorized_official_title_or_position": "VP COMMUNITY SERVICES",
"authorized_official_telephone_number": "406-283-7000"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "MT",
"license": "10263",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS HOSPICE",
"identifier": "350120",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "750142",
"state": "MT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "St. John's Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Libby, MT
- Spokane Vamc
- St John'S Lutheran Hospital Physician'S Services
- St. John'S Lutheran Hospital
- St. John'S Lutheran Hospital, Inc
- St. John'S Lutheran Hospital, Inc
- St. John'S Lutheran Hospital, Inc.
- St. John'S Lutheran Hospital, Inc.
- Robert Dilan Starkel, DDS
- Sterling Dental PC
- Alice M Sterling, LCPC, CCDC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.