Organization
ST LUKES COMMUNITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANE H ROBERTS (CHIEF EXECUTIVE OFFICER)
(406) 676-4441
Entity
Organization
Contact information
Practice address
107 6TH AVE SW, RONAN, MT 59864-2634
(406) 676-4441
(406) 676-0835
Mailing address
107 6TH AVE SW, RONAN, MT 59864-2634
(406) 676-4441
(406) 676-0835
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
—
—
282NC0060X
Critical Access Hospital
Primary
10834
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0412711
—
MT
Enumeration date
11/20/2006
Last updated
11/12/2024
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