| Organization Name: | ST. VINCENT HEALTHCARE |
| NPI Number: | 1942241401 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JASON L. BARKER (PRESIDENT/COO) |
| Mailing Address: | 10 Robinson Ln Red Lodge |
| State: | MT US |
| Postal Code: | 590689010 |
| Phone Number: | 4064463800 |
| Fax Number: | 4064463802 |
| NPI Enumeration Date: | 06/08/2006 |
| NPI Last Update Date: | 10/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 9717 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |