Active NPI
St Peters Health
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Helena, MT
National Provider Identifier
1851495576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030158 | Medicaid | MT |
Other names 2
- St. Peter's Community Hospital
- St. Peter's Hospital Renal Dialysis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Center
- Overall star rating
- Ownership
- Non-profit
- Certified
- Jul 14, 1977
- Medicare certification status
- Active
- 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 Center
Other organizations with this tax ID 14
Organizations that report the same tax identification number in the National Provider Directory.
-
- Allergy Physician
- Helena, MT
- NPI 1679823439
-
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- Helena, MT
- NPI 1275702987
-
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-
- General Acute Care Hospital
- Helena, MT
- NPI 1255583431
-
- Community/Retail Pharmacy
- Helena, MT
- NPI 1487681318
-
- Internal Medicine Physician
- Helena, MT
- NPI 1174630289
-
- Oncology Clinic/Center
- Helena, MT
- NPI 1710152277
-
- Community Based Hospice Care Agency
- Helena, MT
- NPI 1487750618
-
- Durable Medical Equipment & Medical Supplies
- Helena, MT
- NPI 1619372455
-
- Community/Retail Pharmacy
- Helena, MT
- NPI 1639945983
-
- Home Health Agency
- Helena, MT
- NPI 1730283979
-
- Specialty Pharmacy
- Helena, MT
- NPI 1447994546
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.