Healthcare Provider Details

I. General information

NPI: 1194785154
Provider Name (Legal Business Name): ST. PETER'S HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 04/28/2022
Certification Date: 04/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 S CRYSTAL ST
BUTTE MT
59701-1506
US

IV. Provider business mailing address

435 S CRYSTAL ST STE 300
BUTTE MT
59701-1506
US

V. Phone/Fax

Practice location:
  • Phone: 406-723-0023
  • Fax: 406-723-8123
Mailing address:
  • Phone: 406-723-0023
  • Fax: 406-723-8123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number9772
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DEVON RICHARD MURRAY
Title or Position: SR DIRECTOR OF REVENUE CYCLE
Credential:
Phone: 406-447-2787