Organization Name: | ST. LUKE COMMUNITY HOSPITAL & NURSING HOME |
NPI Number: | 1316125677 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHANE H ROBERTS (CEO) |
Mailing Address: | 107 6th Ave Sw Ronan |
State: | MT US |
Postal Code: | 598642634 |
Phone Number: | 4066764441 |
Fax Number: | 4066760835 |
NPI Enumeration Date: | 02/08/2008 |
NPI Last Update Date: | 02/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 10834 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |