Active NPI
Northern Montana Hospital
Doing business as Bear Paw Hospice
- Community Based Hospice Care Agency
- Havre, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 11114
- Legal business name
- NORTHERN MONTANA HOSPITAL
- Doing business as
- Bear Paw Hospice
- Practice address
- 30 13TH St
Havre, MT 59501-5222 - Phone
- (406) 262-1302
- Fax
- (406) 265-1651
- NPI assigned
- Feb 8, 2006
- Last updated
- Oct 9, 2025
- Organization subpart
- Yes
- Parent organization
- NORTHERN MONTANA HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kevin A. Harada, M.D.
- Title
- President/Ceo
- Phone
- (406) 262-1302
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 11114 | MT | Primary |
Addresses
Primary practice location
30 13TH St
Havre, MT 59501-5222
Mailing address
PO Box 1231
Havre, MT 59501-1231
Phone (406) 262-1302
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000350040 | Other | MT | BLUE CROSS BLUE SHIELD |
| 0750023 | Medicaid | MT |
Other names 1
- Bear Paw Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060306000695 | MT | Part A Provider - Hospice | 2264343912 | Practice locations: Havre, MT |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1952374183. Details of each certification follow.
Hospice certification: CCN 271516
- Legal name
- NORTHERN MONTANA HOSPITAL
- Doing business as
- BEAR PAW HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Dec 12, 1996
- Last certification
- Mar 4, 2021
- Ownership / control type
- Non-Profit - Private
- Organization structure
- Corporation
- Incorporated
- Mar 4, 1971 in MT
- Enrollment address
- 30 13TH St
Havre, MT 59501-5222
Other NPIs with the same Medicare PAC ID 6
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Northern Montana Pharmacy
- Community/Retail Pharmacy
- Havre, MT
- NPI 1356314132
2264343912
-
dba Northern Montana Family Medical Center
- Rural Health Clinic/Center
- Havre, MT
- NPI 1538131172
2264343912
-
dba Northern Montana Hospital Swing Beds
- Critical Access Hospital
- Havre, MT
- NPI 1578536355
2264343912
-
dba Northern Montana Specialty Medical Center
- Rural Health Clinic/Center
- Havre, MT
- NPI 1669445490
2264343912
-
dba Northern Montana Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Havre, MT
- NPI 1700859923
2264343912
Care Compare: Hospice
Medicare Care Compare- Listed as
- Bear Paw Hospice
- Ownership
- Non-Profit
- Certified
- Dec 12, 1996
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Part of
- Northern Montana Hospit
Ownership & related parties
All disclosed owners & managing parties 14
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| David Leeds | Corporate Director | Oct 31, 1991 | |
| Kim Lucke | W-2 Managing Employee | Sep 1, 2000 | |
| Richard G. Stevens | Corporate Director | Jan 1, 2013 | |
| Miles Hamilton | Corporate Officer | Oct 31, 1992 | |
| Corporate Director | Oct 31, 1992 | ||
| Northern Montana Hospital | Operational/Managerial Control | Dec 12, 1996 | 100% |
| Andrew Carlson | Corporate Director | Oct 31, 2010 | |
| Debra Healy | Corporate Director | Oct 28, 2014 | |
| Christen Obresley | Contracted Managing Employee | Oct 5, 2016 | |
| Corporate Officer | Oct 5, 2016 | ||
| Kirsten Kammerzell | Corporate Director | Oct 25, 2016 | |
| Karen E Lien | Corporate Director | Jan 1, 2013 | |
| John Gary Grow | Corporate Director | Jan 1, 2015 | |
| Kevin a Harada | Corporate Officer | Apr 1, 2025 | |
| Jennifer Patrick | Corporate Director | Mar 29, 2022 | |
| Paul Tuss | Corporate Director | Oct 31, 2009 |
Owners & managing parties with NPI records 9
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Northern Montana Pharmacy
- Community/Retail Pharmacy
- Havre, MT
- NPI 1356314132
Operational/Managerial Control
-
- Critical Access Hospital
- Havre, MT
- NPI 1427059070
Operational/Managerial Control
-
dba Northern Montana Family Medical Center
- Rural Health Clinic/Center
- Havre, MT
- NPI 1538131172
Operational/Managerial Control
-
dba Northern Montana Hospital Swing Beds
- Critical Access Hospital
- Havre, MT
- NPI 1578536355
Operational/Managerial Control
-
dba Northern Montana Specialty Medical Center
- Rural Health Clinic/Center
- Havre, MT
- NPI 1669445490
Operational/Managerial Control
-
dba Northern Montana Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Havre, MT
- NPI 1700859923
Operational/Managerial Control
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Northern Montana Family Medical Center | Rural health clinic | Operational/Managerial Control | Oct 2, 2003 |
| Northern Montana Specialty Medical Center | Rural health clinic | Operational/Managerial Control | Oct 2, 2003 |
Owned or controlled facilities with NPI records 3
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Northern Montana Medical Group BAM
- Rural Health Clinic/Center
- Havre, MT
- NPI 1396896361
Operational/Managerial Control
-
dba Northern Montana Family Medical Center
- Rural Health Clinic/Center
- Havre, MT
- NPI 1538131172
Operational/Managerial Control
-
dba Northern Montana Specialty Medical Center
- Rural Health Clinic/Center
- Havre, MT
- NPI 1669445490
Operational/Managerial Control
Facilities with the same owner 2
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Northern Montana Family Medical Center
- Rural Health Clinic/Center
- Havre, MT
- NPI 1538131172
Northern Montana Hospital
-
dba Northern Montana Specialty Medical Center
- Rural Health Clinic/Center
- Havre, MT
- NPI 1669445490
Northern Montana Hospital
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba Northern Montana Pharmacy
- Community/Retail Pharmacy
- Havre, MT
- NPI 1356314132
Practitioners & affiliated clinicians
Affiliated clinicians 4
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": "1139356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759968000000",
"number": "1952374183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1231",
"city": "HAVRE",
"state": "MT",
"postal_code": "595011231",
"telephone_number": "406-262-1302",
"fax_number": "406-265-1651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 13TH ST",
"city": "HAVRE",
"state": "MT",
"postal_code": "595015222",
"telephone_number": "406-262-1302",
"fax_number": "406-265-1651"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN MONTANA HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NORTHERN MONTANA HOSPITAL",
"enumeration_date": "2006-02-08",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A",
"authorized_official_last_name": "HARADA",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "406-262-1302",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "MT",
"license": "11114",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000350040",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0750023",
"state": "MT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bear Paw Hospice",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Bear Paw Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Havre, MT
- Northern Montana Hospital (Northern Montana Hospital Swing Beds)
- Northern Montana Hospital (Northern Montana Specialty Medical Center)
- Northern Montana Hospital (Northern Montana Hospital Emergency Medicine)
- Northern Montana Hospital (Northern Montana Dialysis)
- Northern Montana Hospital (Northern Montana Hospital Pharmacy)
- Northern Montana Hospital (Northern Montana Hospital Locum)
- Northern Montana Vision Center
- Northland Hearing Center (Rocky Mountain Hearing Aid)
- Northwest Healthcare Corporation (Choices)
- Shelly Nystrom
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.