Provider Demographics
NPI:1730283979
Name:ST. PETER'S HEALTH
Entity Type:Organization
Organization Name:ST. PETER'S HEALTH
Other - Org Name:ST. PETER'S HEALTH HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR. DIRECTOR OF REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:DEVON
Authorized Official - Middle Name:
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-447-2787
Mailing Address - Street 1:2475 E BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-4928
Mailing Address - Country:US
Mailing Address - Phone:406-444-2100
Mailing Address - Fax:406-444-2389
Practice Address - Street 1:201 S CALIFORNIA ST
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-4974
Practice Address - Country:US
Practice Address - Phone:406-444-2244
Practice Address - Fax:406-447-2540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT10740251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0000068773OtherBCBSMT
MT740883Medicaid
MT0000068773OtherBCBSMT