Organization
ST. JOHN'S LUTHERAN HOSPITAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY WOLFE (VP OF NURSING)
(406) 293-0100
Entity
Organization
Contact information
Practice address
350 LOUISIANA AVE, LIBBY, MT 59923-2130
(406) 293-0100
(406) 293-2453
Mailing address
350 LOUISIANA AVE, LIBBY, MT 59923-2130
(406) 293-0100
(406) 293-2453
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
10882
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31031
BLUE CROSS HOME HEALTH
MT
05
—
740181
—
MT
Enumeration date
01/18/2007
Last updated
07/12/2010
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