ST LUKES COMMUNITY HOSPITAL (NPI# 1336213446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336213446 |
| Entity Type | Organization |
| Organization Name | ST LUKES COMMUNITY HOSPITAL |
| Practice Address |
107 6th Ave Sw Ronan MT 59864-2634 |
| Practice Telephone | 4066764441 |
| Practice Fax Number | 4066760835 |
| Mailing Telephone | 4066764441 |
| Mailing Fax Number | 4066760835 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2012-11-05 |
| Authorized Official Name | MR. SHANE H ROBERTS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4066764441 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
10834 | MT | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0412711 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548612096 | St Lukes Community Hospital | Occupational Therapist | 107 Ridgewater Dr, Ste A, Polson, MT 59860-8977 | 2016-07-08 |
| 1588726483 | St Lukes Community Hospital | Durable Medical Equipment & Medical Supplies | 107 6th Ave Sw, Ronan, MT 59864-2634 | 2006-12-15 |
| Street Address |
107 6TH AVE SW |
| City | RONAN |
| State | MT |
| Zip Code | 59864-2634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275528036 | Mary Eve Tolbert | Audiologist | 107 6th Ave Sw, Ronan, MT 59864-2634 | 2005-09-16 |
| 1487297826 | Taylor E Clough | Occupational Therapist | 107 6th Ave Sw, Ronan, MT 59864-2634 | 2019-10-17 |
| 1972980050 | Joan A. Ashcraft | Emergency Medicine | 107 6th Ave Sw, Ronan, MT 59864-2634 | 2015-04-28 |
| 1205213394 | Alexander J. Nutt | Emergency Medicine | 107 6th Ave Sw, Ronan, MT 59864-2634 | 2015-04-28 |
| 1891122537 | Lance Hummel | Physical Therapist | 107 6th Ave Sw, Ronan, MT 59864-2634 | 2013-09-26 |
| 1164859823 | Bruce M Mcmillan | Physical Therapist | 107 6th Ave Sw, Ronan, MT 59864-2634 | 2013-09-26 |
| 1063849701 | Kevin W Adams | Physical Therapist | 107 6th Ave Sw, Ronan, MT 59864-2634 | 2013-09-26 |
| 1891122529 | Karen Adams | Physical Therapist | 107 6th Ave Sw, Ronan, MT 59864-2634 | 2013-09-26 |
| 1467894121 | Benjamin D Grass | Family Medicine | 107 6th Ave Sw, Ronan, MT 59864-2634 | 2013-07-23 |
| 1013261031 | Diane M Grogan | Dietitian, Registered | 107 6th Ave Sw, Ronan, MT 59864-2634 | 2012-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437676566 | Kristin A. Murphy | Registered Nurse | 35860 Round Butte Rd., Ronan, MT 59864 | 2017-08-29 |
| 1477906725 | Richard A Greene IIi | Counselor | 407 Main St Sw, Ronan, MT 59864 | 2016-07-21 |
| 1134592942 | Sancee Leigh Heaton | Massage Therapist | 41064 Us Hwy93 Frontage Rd, Ronan, MT 59864 | 2015-11-03 |
| 1700160033 | Rosemary Epperson | Social Worker | 1313 Us-93, Ronan, MT 59864 | 2011-10-05 |
| 1700109790 | Cyndi Lu Marengo | Dental Hygienist | 380 Mission Drive, St. Ignatius, MT 59864 | 2010-03-05 |
| 1841335973 | Katherine Stacy Kiser | Counselor | 530 Highway 93 South, Ronan, MT 59864 | 2007-02-20 |
| 1376682351 | Stanley Houston Fleming | Counselor | 30 Round Butte Road West, Ronan, MT 59864 | 2007-02-06 |
| 1255477907 | Vanessa Anne Courville | Registered Nurse | 28 Round Butte Rd, Ronan, MT 59864 | 2007-01-29 |
| 1114074903 | Robert Duane Gerrie | Surgery | # 6 Thirteenth Ave. E., Polson, MT 59864 | 2007-01-04 |
| 1740341189 | Eleanore R Hobbs | Psychiatry & Neurology | 126 6th Ave. Sw, St. Luke Community Clinci Ronan, Ronan, MT 59864 | 2006-12-12 |
| Find all providers in zip 59864 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316125677 | St. Luke Community Hospital & Nursing Home | General Acute Care Hospital | 107 6th Ave Sw, Ronan, MT 59864-2634 | 2008-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679941967 | Ruby Valley Hospital | General Acute Care Hospital | 220 E Crofoot Ln, Sheridan, MT 59749-7714 | 2015-09-03 |
| 1235302142 | Phs Indian Hospital | General Acute Care Hospital | 10110 South 7650 East Phs, Crow Northern Cheyenne Indian, Crow Agency, MT 59022 | 2008-04-11 |
| 1407076219 | Us Health Dept of Health & Human Services | General Acute Care Hospital | Pryor Gap Road, Pryor, MT 59066-0009 | 2007-04-26 |
| 1790803369 | Mccone County Health Center, Inc. | General Acute Care Hospital | 605 Sullivan Avenue, Circle, MT 59215 | 2007-03-26 |
| 1750410395 | U S Health Dept of Health & Human Services | General Acute Care Hospital | 418 Harding Street, Lodge Grass, MT 59050-0780 | 2007-03-02 |
| 1730216037 | Public Hospital District of Beaverhead County Db | General Acute Care Hospital | 30 Mt Hwy 91 South, Dillon, MT 59725-3597 | 2007-02-27 |
| 1548395197 | Mountainview Medical Center | General Acute Care Hospital | 16 West Main Street, White Sulphur Springs, MT 59645-0817 | 2007-02-23 |
| 1659433175 | Memorial Hospital Association | General Acute Care Hospital | 600 W 21st Street, Red Lodge, MT 59068-0590 | 2006-12-14 |
| 1144381054 | Memorial Hospital Association | General Acute Care Hospital | 600 West 21st Street, Red Lodge, MT 59068-0590 | 2006-12-13 |
| 1053488387 | Stillwater Hospital Association, Inc. | General Acute Care Hospital | 710 N 11th Street, Columbus, MT 59019-0959 | 2006-11-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.