Organization Active NPI

St Peters Health

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Helena, MT
National Provider Identifier
1851495576
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
ST PETERS HEALTH
Practice address
2475 E Broadway St
Helena, MT 59601-4928
Phone
(406) 444-2100
Fax
(406) 444-2389
NPI assigned
Sep 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Authorized official

Name
Devon Richard Murray
Title
Sr. Director of Revenue Cycle
Phone
(406) 447-2787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

2475 E Broadway St
Helena, MT 59601-4928

Mailing address

2475 E Broadway St
Helena, MT 59601-4928
Phone (406) 444-2100

Other identifiers 1

IdentifierTypeStateIssuer
030158MedicaidMT

Other names 2

  • St. Peter's Community Hospital Former legal business name
  • St. Peter's Hospital Renal Dialysis Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070925000146 MT Part A Provider - End-Stage Renal Disease Facility (ESRD) 7911814926 Practice locations: Helena, MT

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
St Peter'S Health Dialysis CenterCCN 272300
Overall star rating
2.0 of 5
Ownership
Non-profit
Certified
Jul 14, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
13

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

National Provider Directory

National Provider Directory
Tax ID family
Cancer Treatment Center15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1851495576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 E BROADWAY ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014928",
            "telephone_number": "406-444-2100",
            "fax_number": "406-444-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 E BROADWAY ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014928",
            "telephone_number": "406-444-2100",
            "fax_number": "406-444-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST PETERS HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "DEVON",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "SR. DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "406-447-2787"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030158",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Peter's Community Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "St. Peter's Hospital Renal Dialysis",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 28, 2024; 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.