Healthcare Provider Details

I. General information

NPI: 1154566271
Provider Name (Legal Business Name): ST LUKES COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2008
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 6TH AVE SW
RONAN MT
59864-2634
US

IV. Provider business mailing address

107 6TH AVE SW
RONAN MT
59864-2634
US

V. Phone/Fax

Practice location:
  • Phone: 406-676-4441
  • Fax: 406-676-0835
Mailing address:
  • Phone: 406-676-4441
  • Fax: 406-676-0835

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. LIANE CLAIRMONT
Title or Position: EXECUTIVE ASSISTANT
Credential:
Phone: 406-676-4441