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NPI Code Detail

MEDICARE: ST. PETER'S HEALTH

MEDICARE: ST. PETER'S HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency
2282N00000XGeneral Acute Care Hospital9766MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20000000372OTHERMTBCBSMT

General Provider Information

NPI Number : 1528023520
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST. PETER'S HEALTH
Provider Business Mailing Address
First Line : 2475 E BROADWAY ST
Second Line :
City : HELENA
State : MT
Zip : 59601-4928
Country : US
Telephone Number : 406-444-2100
Fax Number : 406-444-2389
Provider Business Practice Location Address
First Line : 2475 E BROADWAY ST
Second Line :
City : HELENA
State : MT
Zip : 59601-4928
Country : US
Telephone Number : 406-444-2100
Fax Number : 406-444-2389
Authorized Official
Title or Position : CEO & PRESIDENT
Name : WADE JOHNSON
Credential : FACHE
Telephone Number : 406-444-2101
Provider Enumeration Date : 04/20/2006
Last Update Date : 01/21/2026

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Directions to “ST. PETER'S HEALTH ” Practice Location

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