| St. Luke Community Clinic St. Ignatius | |
|
330-6 Tract Lane St. Ignatius MT 59865 | |
| (406) 745-2781 | |
| (406) 745-3080 |
| Full Name | St. Luke Community Clinic St. Ignatius |
|---|---|
| Speciality | Clinic/Center |
| Location | 330-6 Tract Lane, St. Ignatius, Montana |
| Authorized Official Name and Position | Liane Clairmont (EXUECUTIVE ASSISTANT) |
| Authorized Official Contact | 4066764441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Luke Community Clinic St. Ignatius 107 6th Ave Sw Ronan MT 59864-2634 Ph: (406) 676-4441 | St. Luke Community Clinic St. Ignatius 330-6 Tract Lane St. Ignatius MT 59865 Ph: (406) 745-2781 |
| NPI Number | 1306911169 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 02/23/2017 |
| Medicare PECOS PAC ID | 5496659567 |
|---|---|
| Medicare Enrollment ID | O20031121000276 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306911169 | NPI | - | NPPES |
| 0720069 | Medicaid | MT |
| Provider Name | Paul D Gochis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932273927 PECOS PAC ID: 3072419225 Enrollment ID: I20031209000929 |
| Provider Name | Bruce F Gray |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619038601 PECOS PAC ID: 7416849179 Enrollment ID: I20040326001107 |
| Provider Name | Bruce D Mikesell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528099074 PECOS PAC ID: 8628055050 Enrollment ID: I20040712000424 |
| Provider Name | Michael T Henson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306907308 PECOS PAC ID: 0840261848 Enrollment ID: I20040803001569 |
| Provider Name | Donald J Schumacher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558422568 PECOS PAC ID: 9234107400 Enrollment ID: I20040930000608 |
| Provider Name | Keri J Thorn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073567632 PECOS PAC ID: 7517904782 Enrollment ID: I20050411000306 |
| Provider Name | William B Howard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548253131 PECOS PAC ID: 9133181589 Enrollment ID: I20050429000406 |
| Provider Name | Heather Jones-gochis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548322845 PECOS PAC ID: 5395781017 Enrollment ID: I20050705000440 |
| Provider Name | Michael S Kornish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558449124 PECOS PAC ID: 8426048539 Enrollment ID: I20050811000976 |
| Provider Name | Mark D Harding |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821042466 PECOS PAC ID: 1355234477 Enrollment ID: I20050908000886 |
| Provider Name | William C Cullis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174685374 PECOS PAC ID: 0941235139 Enrollment ID: I20050927000607 |
| Provider Name | Kimberly S Damrow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548267347 PECOS PAC ID: 1355376880 Enrollment ID: I20051003000829 |
| Provider Name | James G Clough |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013999846 PECOS PAC ID: 8628972213 Enrollment ID: I20060104000448 |
| Provider Name | John G Foster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588864979 PECOS PAC ID: 3476644246 Enrollment ID: I20070808000331 |
| Provider Name | Daniel W Moullet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790773802 PECOS PAC ID: 2567553944 Enrollment ID: I20071105000082 |
| Provider Name | David J Vaughan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235319625 PECOS PAC ID: 7012007081 Enrollment ID: I20071213000643 |
| Provider Name | Patrick J Mcdonnell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699836601 PECOS PAC ID: 6800828559 Enrollment ID: I20080513000169 |
| Provider Name | Cortnee S Gunlock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841280419 PECOS PAC ID: 9931273745 Enrollment ID: I20080728000596 |
| Provider Name | Eleanore R Hobbs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740341189 PECOS PAC ID: 6204902869 Enrollment ID: I20080904000564 |
| Provider Name | Michael Goodman |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1427034834 PECOS PAC ID: 4688742596 Enrollment ID: I20081006000284 |
| Provider Name | Anthony T Young |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780625814 PECOS PAC ID: 9133015357 Enrollment ID: I20090505000241 |
| Provider Name | Nicholas Cade Cantrell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114185303 PECOS PAC ID: 2567536899 Enrollment ID: I20090828000259 |
| Provider Name | Anders G Engdahl |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841369295 PECOS PAC ID: 4385532407 Enrollment ID: I20100422001095 |
| Provider Name | William R Benedetto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750452983 PECOS PAC ID: 6204867807 Enrollment ID: I20100429000659 |
| Provider Name | Richard G Friedman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033270012 PECOS PAC ID: 3476545179 Enrollment ID: I20100429000677 |
| Provider Name | Edred T Vizcarra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043373111 PECOS PAC ID: 7113815531 Enrollment ID: I20110111000928 |
| Provider Name | Andrew D Mccarthy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033210430 PECOS PAC ID: 5193726610 Enrollment ID: I20130805000006 |
| Provider Name | Nicholas Satovick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821242942 PECOS PAC ID: 6608017249 Enrollment ID: I20140825002800 |
| Provider Name | Benjamin Grass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467894121 PECOS PAC ID: 1759607492 Enrollment ID: I20150224000869 |
| Provider Name | Megan A Vigil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023450798 PECOS PAC ID: 4688991383 Enrollment ID: I20150317002057 |
| Provider Name | Andrew Joseph Ferdinand |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801026737 PECOS PAC ID: 8325276108 Enrollment ID: I20150725012727 |
| Provider Name | Aubree Ruzkowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972860377 PECOS PAC ID: 8921241878 Enrollment ID: I20150803002915 |
| Provider Name | Kelli A Larson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629336953 PECOS PAC ID: 2466685359 Enrollment ID: I20150916001809 |
| Provider Name | Katherine M Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922484690 PECOS PAC ID: 6103719331 Enrollment ID: I20150925002789 |
| Provider Name | Kelly T Kieper |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083888390 PECOS PAC ID: 7618101015 Enrollment ID: I20151119001203 |
| Provider Name | Earl Michael Chester |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740418136 PECOS PAC ID: 6103041876 Enrollment ID: I20160706001118 |
| Provider Name | Jared H Heimbigner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063405777 PECOS PAC ID: 5092723809 Enrollment ID: I20160714000921 |
| Provider Name | Zachary Washburn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285838292 PECOS PAC ID: 5193981603 Enrollment ID: I20160805001477 |
| Provider Name | Rick Greene |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477906725 PECOS PAC ID: 5193019479 Enrollment ID: I20160809002310 |
| Provider Name | Zachary J Hovorka |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134415201 PECOS PAC ID: 2668760968 Enrollment ID: I20161019000197 |
| Provider Name | Shanley Swanson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326464397 PECOS PAC ID: 4880972637 Enrollment ID: I20161103000136 |
| Provider Name | Shannon M Harris |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346570009 PECOS PAC ID: 3971881400 Enrollment ID: I20161103000487 |
| Provider Name | Kyota Shizuku |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336576016 PECOS PAC ID: 4486935426 Enrollment ID: I20170105000408 |
| Provider Name | Charlotte D Delaney |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1811295876 PECOS PAC ID: 7517226384 Enrollment ID: I20180124002101 |
| Provider Name | Adrian T Davis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467618280 PECOS PAC ID: 6507171725 Enrollment ID: I20180215000395 |
| Provider Name | Robert E Love |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1952676157 PECOS PAC ID: 7113229543 Enrollment ID: I20180727001503 |
| Provider Name | Brian Matthew Lopez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578940888 PECOS PAC ID: 8123379971 Enrollment ID: I20180918003623 |
| Provider Name | Joanna Billings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447630868 PECOS PAC ID: 3971811407 Enrollment ID: I20181003001973 |
| Provider Name | Tyler Jay Thorson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548647290 PECOS PAC ID: 4284979543 Enrollment ID: I20181214002525 |
| Provider Name | Laura I Hoganson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295112944 PECOS PAC ID: 3274879044 Enrollment ID: I20190115003649 |
| Provider Name | Joan Abi Nutt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972980050 PECOS PAC ID: 5597073940 Enrollment ID: I20190314000754 |
| Provider Name | Joshua Michael Krantz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043878846 PECOS PAC ID: 1850628439 Enrollment ID: I20190805002010 |
| Provider Name | James M Mckee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669444733 PECOS PAC ID: 7810228509 Enrollment ID: I20191010001478 |
| Provider Name | Alexander J Nutt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205213394 PECOS PAC ID: 1759698558 Enrollment ID: I20191019000064 |
| Provider Name | Valerie E K Stine |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639514003 PECOS PAC ID: 0840591053 Enrollment ID: I20191105000121 |
| Provider Name | Cloe Felicya Shelton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437298445 PECOS PAC ID: 7911176284 Enrollment ID: I20191215000032 |
| Provider Name | Isaac J Billings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437680758 PECOS PAC ID: 5991059420 Enrollment ID: I20200131002760 |
| Provider Name | Taylor E Clough |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487297826 PECOS PAC ID: 6901232255 Enrollment ID: I20200206000716 |
| Provider Name | Lacey J Phelan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508499658 PECOS PAC ID: 3577992445 Enrollment ID: I20200330001117 |
| Provider Name | Jennifer E Foresman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306387733 PECOS PAC ID: 9931472198 Enrollment ID: I20200421001819 |
| Provider Name | Richard A Kilgore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457628869 PECOS PAC ID: 7113184292 Enrollment ID: I20200519000185 |
| Provider Name | Christopher J Molloy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639426935 PECOS PAC ID: 2860785417 Enrollment ID: I20200831000580 |
| Provider Name | Chadwick Garner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609281807 PECOS PAC ID: 8224397807 Enrollment ID: I20200915001431 |
| Provider Name | Mark Barnett Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740623818 PECOS PAC ID: 6305149766 Enrollment ID: I20210122000518 |
| Provider Name | Krystal A Diel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053907287 PECOS PAC ID: 7517371768 Enrollment ID: I20210128002405 |
| Provider Name | Scott A Alexander |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033236963 PECOS PAC ID: 8921104217 Enrollment ID: I20210224001933 |
| Provider Name | David Rl Springs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528555240 PECOS PAC ID: 9436404969 Enrollment ID: I20210826001692 |
| Provider Name | Kena D Lackman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427583285 PECOS PAC ID: 6406126119 Enrollment ID: I20211028002664 |
| Provider Name | Margaret A Martino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366102683 PECOS PAC ID: 0446644611 Enrollment ID: I20220303002857 |
| Provider Name | Ronald Dean |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437198074 PECOS PAC ID: 4385737865 Enrollment ID: I20220311000559 |
| Provider Name | Michael Cathey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952371023 PECOS PAC ID: 2163662586 Enrollment ID: I20220916003347 |
| Provider Name | Kara Heuvelhorst |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932558962 PECOS PAC ID: 3476813346 Enrollment ID: I20221207002714 |
| Provider Name | Andrew J Ziegert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770526980 PECOS PAC ID: 1355441411 Enrollment ID: I20230113001285 |
| Provider Name | Erik Jacobson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114389897 PECOS PAC ID: 2769727536 Enrollment ID: I20230703002836 |
| Provider Name | Jason Hibbard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235491846 PECOS PAC ID: 1355700386 Enrollment ID: I20230707003166 |
| Provider Name | Phillip S Anuta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396308789 PECOS PAC ID: 0547685463 Enrollment ID: I20230801001449 |
| Provider Name | Stacey Burdett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073208757 PECOS PAC ID: 1052777521 Enrollment ID: I20231218003621 |