# ST. JOHN'S LUTHERAN HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932265238
- **Authorized official:** MS. ANN MARIE BROTHERS (BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (406) 293-0112

## Contact information

- **Practice address:** 350 LOUISIANA AVE, LIBBY, MT 59923-2130
- **Practice address phone:** (406) 293-0112
- **Practice address fax:** (406) 293-7931
- **Mailing address:** 350 LOUISIANA AVE, LIBBY, MT 59923-2130
- **Mailing address phone:** (406) 293-0112
- **Mailing address fax:** (406) 293-7931

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QE0002X | Emergency Care Clinic/Center | 10828 | MT | Yes |

## Other

- **Enumeration date:** 12/29/2006
- **Last updated:** 08/22/2020
