Organization
ST LUKES COMMUNITY HOSPITAL
Active
Other names
St. Luke Community Oxygen & Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANE H ROBERTS (CEO)
(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
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5601713
—
MT
Enumeration date
12/15/2006
Last updated
11/09/2012
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