Provider Demographics
NPI:1962611434
Name:ST VINCENT HEALTHCARE TRANSITIONAL CARE UNIT
Entity type:Organization
Organization Name:ST VINCENT HEALTHCARE TRANSITIONAL CARE UNIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON NHA
Authorized Official - Prefix:
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:MCCAULEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN NHA
Authorized Official - Phone:406-237-7000
Mailing Address - Street 1:PO BOX 35200
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59107-5200
Mailing Address - Country:US
Mailing Address - Phone:406-237-7000
Mailing Address - Fax:406-237-7653
Practice Address - Street 1:1233 N 30TH ST
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-0127
Practice Address - Country:US
Practice Address - Phone:406-237-7000
Practice Address - Fax:406-237-7653
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-22
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT275137314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT275137Medicare Oscar/Certification