ST. VINCENT HEALTHCARE (NPI# 1396786448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396786448 |
| Entity Type | Organization |
| Organization Name | ST. VINCENT HEALTHCARE |
| Other Organization Name | CLARKS FORK MEDICAL CENTER |
| Practice Address |
410 S 2 St Bridger MT 59014 |
| Mailing Address |
410 So 2 St Bridger MT 59014-0486 |
| Practice Telephone | 4066623740 |
| Practice Fax Number | 4066623469 |
| Mailing Telephone | 4066623740 |
| Mailing Fax Number | 4066623469 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JAMES T. PAQUETTE (PRESIDENT CEO) |
| Authorized Official Telephone | 4062373071 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 9717 | MT | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Clarks Fork Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801038641 | St. Vincent Healthcare | Clinic/Center | 1233 North 30th Street, 3 Allard, Billings, MT 59101-0127 | 2009-03-25 |
| 1285816447 | St. Vincent Healthcare | Durable Medical Equipment & Medical Supplies | 1111 S Haynes Ave, Suite E, Miles City, MT 59301-5749 | 2007-11-29 |
| 1962437236 | St. Vincent Healthcare | Clinic/Center | 1144 N Broadway, Suite C, Billings, MT 59101-0110 | 2006-07-12 |
| 1215968185 | St. Vincent Healthcare | Clinic/Center | 90 Poly Dr, Billings, MT 59101-0142 | 2006-07-06 |
| 1124059092 | St. Vincent Healthcare | Clinic/Center | 1027 N 27th St, Billings, MT 59101-0701 | 2006-07-06 |
| 1104857077 | St. Vincent Healthcare | Clinic/Center | Palliative Care Services, 1233 North 30th St, Billings, MT 59101 | 2006-07-06 |
| 1720029739 | St. Vincent Healthcare | Clinic/Center | 55 N. Montana, Absarokee, MT 59001-0425 | 2006-06-09 |
| 1942241401 | St. Vincent Healthcare | Clinic/Center | 10 Robinson Ln, Red Lodge, MT 59068-9010 | 2006-06-08 |
| 1235170705 | St. Vincent Healthcare | Clinic/Center | 720 Lindsay Ln, Suite A, Cody, WY 82414-4103 | 2006-06-08 |
| 1477594950 | St. Vincent Healthcare | Clinic/Center | 2469 Main Street, Worden, MT 59088-0246 | 2006-06-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | ST. VINCENT HEALTHCARE | 4816 Aurora Ave N, Seattle, WA 98103 |
| System for Award Management (SAM) Entities | ST. VINCENT HEALTHCARE FOUNDATION, INC. | 1233 N 30th St, Billings, MT 59101-0127 |
| Colorado Business Entities | St. Vincent Healthcare Foundation, Inc. | 500 Eldorado Blvd, Ste 4300, Attn Legal Services, Broomfield, CO 80021 |
| Street Address |
410 S 2 ST |
| City | BRIDGER |
| State | MT |
| Zip Code | 59014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558418327 | Town of Bridger | Ambulance | 210 South C Street, Bridger, MT 59014-0094 | 2007-01-04 |
| 1467735118 | County of Carbon School District 2 | Local Education Agency (LEA) | 106 N 4th St, Bridger, MT 59014-7705 | 2011-09-20 |
| 1306233978 | Carbon County Counseling, LLC. | Counselor | 107 N Main St, Unit 6, Bridger, MT 59014-7708 | 2015-04-22 |
| 1689163156 | Karen G. Zaso | Behavioral Analyst | 215 S 3rd St, Bridger, MT 59014-7745 | 2018-05-09 |
| 1073803318 | Yellowstone City County Health Department | Clinic/Center | 410 S 2nd St, Bridger, MT 59014-7788 | 2011-04-07 |
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1013488733 | Traditional Oriental Medicine, Inc. | Clinic/Center | 300 N Willson Ave Ste 3002, Bozeman, MT 59715-3572 | 2018-12-06 |
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| 1104339597 | Ideal Telemedicine Services, LLC | Clinic/Center | 1532 Ellis St Ste 104, Bozeman, MT 59715-8809 | 2017-11-08 |
| 1295254621 | Casterline Family Chiropractic LLC | Clinic/Center | 54171 Us Highway 2, Glasgow, MT 59230-1544 | 2017-09-18 |
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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.