ST. PATRICK HOSPITAL CORPORATION (NPI# 1558430298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558430298 |
| Entity Type | Organization |
| Organization Name | ST. PATRICK HOSPITAL CORPORATION |
| Practice Address |
500 W Broadway St Missoula MT 59802-4008 |
| Practice Telephone | 4065437271 |
| Practice Fax Number | 4063295877 |
| Mailing Telephone | 4065437271 |
| Mailing Fax Number | 4063295877 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2008-07-30 |
| Authorized Official Name | MISS ALICE GARDNER (DIRECTOR, PBS & ADMISSIONS) |
| Authorized Official Telephone | 4063295790 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
10606 | MT | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST PATRICK HOSPITAL CORPORATION | 500 W Bdwy, Missoula, MT 59802 |
| Street Address |
500 W BROADWAY ST |
| City | MISSOULA |
| State | MT |
| Zip Code | 59802-4008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600359 | Kendra B. Lee | Family Medicine | 500 W Broadway St, Missoula, MT 59802-4008 | 2005-06-21 |
| 1205468725 | Stephanie Elizabeth Carl | Physician Assistant | 500 W Broadway St, Missoula, MT 59802-4008 | 2020-02-12 |
| 1942840483 | Credena Health LLC | Durable Medical Equipment & Medical Supplies | 500 W Broadway St, Missoula, MT 59802-4008 | 2020-01-13 |
| 1346880119 | Kaylyn Casebolt Desrosier | Pharmacist | 500 W Broadway St, Missoula, MT 59802-4008 | 2020-01-09 |
| 1689168049 | Kacia Bundle | Nurse Practitioner | 500 W Broadway St, Missoula, MT 59802-4008 | 2018-06-19 |
| 1114424488 | Hannah Gilliland | Nurse Practitioner | 500 W Broadway St, Missoula, MT 59802-4008 | 2018-04-12 |
| 1386164408 | Sandra Lynn Cummins | Social Worker | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-06-20 |
| 1548797152 | Joseph M Miller | Internal Medicine | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-05-12 |
| 1083147664 | Matthew Mcgady | Physician Assistant | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-04-10 |
| 1982135216 | Meeka Pradeep Gandhi | Pediatrics | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
| 1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
| 1386122752 | The Hope Health Alliance, Inc. | Case Management | 314 White House Ln, Missoula, MT 59802 | 2018-07-30 |
| 1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
| 1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
| 1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
| 1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
| 1720481971 | Anna Golding | Counselor | 1325 Wyoming Street, Missoula, MONTANA 59802 | 2014-10-02 |
| 1003255803 | Jennifer Dawn Danielson | Speech-Language Pathologist | 2408 Duncan Drive, Missoula, MT 59802 | 2013-06-14 |
| 1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
| Find all providers in zip 59802 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992284814 | Community Medical Center Dialysis | Clinic/Center | 1325 S Reserve St, Missoula, MT 59801-4759 | 2018-08-10 |
| 1861790727 | Fresenius Medical Care of Montana, LLC | Clinic/Center | 3100 Great Northern Ave, Missoula, MT 59808-1539 | 2011-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124536453 | Dialysis Clinic Inc | Clinic/Center | 2708 Main Street, #4, Miles City, MT 59301 | 2018-01-22 |
| 1790227403 | Dialysis Clinic Inc | Clinic/Center | 303 Ridgewater Dr, Polson, MT 59860-8547 | 2016-11-11 |
| 1144682758 | Fresenius Medical Care of Montana LLC | Clinic/Center | 305 Ridgewater Dr, Polson, MT 59860-8547 | 2016-03-23 |
| 1073975686 | Gfld,llc | Clinic/Center | 1724 26th Street S, Great Falls, MT 59405-5272 | 2016-03-23 |
| 1043634280 | Billings Clinic Dialysis LLC | Clinic/Center | 616 N 25th St, Billings, MT 59101-1040 | 2014-02-07 |
| 1578993663 | Total Renal Care Inc | Clinic/Center | 3400 10th Ave S, Ste 1, Great Falls, MT 59405-3473 | 2013-11-26 |
| 1679871537 | Fresenius Medical Care of Montana, LLC | Clinic/Center | 3745 Harrison Ave, Suite D, Butte, MT 59701-6814 | 2011-03-02 |
| 1053477547 | Billings Clinic | Clinic/Center | I 90 & 212, Crow Agency, MT 59022 | 2006-12-29 |
| 1659483048 | Fort Peck Tribes | Clinic/Center | 107 H St, Poplar, MT 59255-1027 | 2006-08-31 |
| 1124043815 | Dialysis Clinic Inc. | Clinic/Center | 760 Hopsital Circle, Browning, MT 59417 | 2006-07-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ST. PATRICK HOSPITAL CORPORATION.
| 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.