ST. JOHN'S LUTHERAN HOSPITAL, INC. (NPI# 1952312050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952312050 |
| Entity Type | Organization |
| Organization Name | ST. JOHN'S LUTHERAN HOSPITAL, INC. |
| Other Organization Name | CABINET PEAKS MEDICAL CENTER |
| Practice Address |
209 Health Park Dr Libby MT 59923-2001 |
| Mailing Address |
209 Health Park Dr Po Box 1570 Libby MT 59923-2001 |
| Practice Telephone | 4062837000 |
| Practice Fax Number | 4062933895 |
| Mailing Telephone | 4062837000 |
| Mailing Fax Number | 4062933895 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2014-01-19 |
| Authorized Official Name | MRS. GAYL P. SMITH (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4062837000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
10828 | MT | Hospitals |
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
11971 | MT | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0412420 | 05 | |
| MT | BLUE CROSS PROVIDER | 60672 | 01 |
| Other Name | Type Code |
|---|---|
| Cabinet Peaks Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588720882 | St. John's Lutheran Hospital, Inc. | Medicare Defined Swing Bed Unit | 209 Health Park Dr, Libby, MT 59923-2001 | 2006-12-29 |
| Street Address |
209 HEALTH PARK DR |
| City | LIBBY |
| State | MT |
| Zip Code | 59923-2001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437398229 | Jeremy Carlisle | Nurse Anesthetist, Certified Registered | 209 Health Park Dr, Libby, MT 59923-2001 | 2009-02-18 |
| 1740448091 | Kimberly Anne Umscheid | Physical Therapist | 209 Health Park Dr, Libby, MT 59923-2001 | 2008-05-22 |
| 1588720882 | St. John's Lutheran Hospital, Inc. | Medicare Defined Swing Bed Unit | 209 Health Park Dr, Libby, MT 59923-2001 | 2006-12-29 |
| 1356437032 | Debra Lynn Sharp | Nurse Anesthetist, Certified Registered | 209 Health Park Dr, Libby, MT 59923-2001 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518504596 | Office of Randy Guinard, Lcsw LLC | Social Worker | 703 California Avenue, Libby, MT 59923 | 2019-12-09 |
| 1952641615 | Kristi Lynn Lovejoy | Massage Therapist | 952 E Spruce, Libby, MT 59923 | 2013-02-18 |
| 1891943981 | Rita Haidle Billow | Psychologist | 320 E. 2nd Street, Libby, MT 59923 | 2008-09-03 |
| 1225229347 | Mark Serra | Emergency Medicine | 350 Louisiana Avenue, Libby, MT 59923 | 2007-08-05 |
| 1992910319 | Joel A Riddel | Chiropractor | 1115 Minnesota Ave, Libby, MT 59923 | 2007-05-10 |
| 1184743056 | Carol J. Kelly | Counselor | 1469 Highway 2 South, Libby, MT 59923 | 2007-03-29 |
| 1578696464 | Robert Hanley | Counselor | 711 California Avenue, Libby, NE 59923 | 2007-03-13 |
| 1851463947 | Steven L Sorensen | Optometrist | 422 Louisiana Ave, Libby, MT 59923 | 2006-11-14 |
| 1295823979 | Clyde Allen Knecht | Family Medicine | 403 Utah Ave, Libby, MT 59923 | 2006-10-10 |
| 1982717625 | Fisher River Volunteer Fire Company | Ambulance | 100 West Camp Road, Libby, MT 59923 | 2006-08-16 |
| Find all providers in zip 59923 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
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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.