# ST LUKES COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St. Luke Community Clinic Ridgewater
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548612096
- **Authorized official:** MR. STEVEN J TODD (CEO)
- **Authorized official phone:** (406) 676-4441

## Contact information

- **Practice address:** 107 RIDGEWATER DR, STE A, POLSON, MT 59860-8977
- **Practice address phone:** (406) 883-3737
- **Practice address fax:** (406) 883-2669
- **Mailing address:** 107 RIDGEWATER DR, STE A, POLSON, MT 59860-8977
- **Mailing address phone:** (406) 883-3737
- **Mailing address fax:** (406) 883-2669

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 261QH0700X | Hearing and Speech Clinic/Center | — | NULL | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/08/2016
- **Last updated:** 09/28/2018
