NPIMap

Organization Active NPI

St. John'S Lutheran Hospital

  • Emergency Care Clinic/Center
  • Libby, MT
National Provider Identifier
1932265238
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
License
10828 Issued in MT
Legal business name
ST. JOHN'S LUTHERAN HOSPITAL
Practice address
350 Louisiana Ave
Libby, MT 59923-2130
Phone
(406) 293-0112
Fax
(406) 293-7931
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Ann Marie Brothers
Title
Business Office Manager
Phone
(406) 293-0112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X 10828 MT Primary

Addresses

Primary practice location

350 Louisiana Ave
Libby, MT 59923-2130

Mailing address

350 Louisiana Ave
Libby, MT 59923-2130
Phone (406) 293-0112

National Provider Directory

National Provider Directory
Tax ID family
Kootenai Internal Medic4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932265238",
    "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": "406-293-0112",
            "fax_number": "406-293-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 LOUISIANA AVE",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232130",
            "telephone_number": "406-293-0112",
            "fax_number": "406-293-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN'S LUTHERAN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROTHERS",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "406-293-0112",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "MT",
            "license": "10828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libby, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.