ST LUKES COMMUNITY HOSPITAL NPI 1548612096

NPI Information

NPI: 1548612096
Provider Name: ST LUKES COMMUNITY HOSPITAL

Doing Business As: ST. LUKE COMMUNITY CLINIC RIDGEWATER

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
107 RIDGEWATER DR, STE A
POLSON, MT
ZIP 59860
Phone: (406) 883-3737
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ST LUKES COMMUNITY HOSPITAL is a rural health clinic center in Polson, MT. ST LUKES COMMUNITY HOSPITAL NPI is 1548612096. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St. Luke Community Clinic Ridgewater.

The provider's business location address is:

107 RIDGEWATER DR, STE A
POLSON, MT
ZIP 59860-977
Phone: (406) 883-3737
Fax: (406) 883-2669

The provider's authorized official is Steven J Todd .
The authorized official title is Ceo and has the following contact phone number (406) 676-4441.

The CLIA number assigned to this NPI record is 27D2115622 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/8/2016 and was last updated on 9/28/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	225X00000X	Occupational Therapist		No
2	261QH0700X	Clinic/Center	Hearing and Speech	No
3	261QP2000X	Clinic/Center	Physical Therapy	No
4	261QR1300X	Clinic/Center	Rural Health	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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