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ST. LUKE COMMUNITY CLINIC POLSON
NPI 1184785420
Clinic/Center - Rural Health in Polson, MT

Active since December 12, 2006CLIA 27D0990026 · Microscopy
104 RUFUS LN, POLSON, MT 59860(406) 883-2555(406) 883-2559 Get Directions Write a Review

NPPES record last updated: September 28, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 28, 2018, Mar 23, 2017, Feb 23, 2017 (3 updates tracked since 2017).

About St. Luke Community Clinic Polson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. LUKE COMMUNITY CLINIC POLSON (NPI 1184785420) is a healthcare organization registered as a rural health in Polson, Montana and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through August 12, 2027 and lists Liane Clairmont, Executive Assistant, as its authorized official.

NPPES Registry Identity

NPI1184785420
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameST. LUKES COMMUNITY HOSPITAL
Location Address104 RUFUS LNPolson, MT 59860-8903
Mailing Address107 6th Ave SwRonan, MT 59864-2634 · (406) 676-4441 · Fax (406) 676-0835
Phone(406) 883-2555
Fax(406) 883-2559
Organization SubpartNo
Authorized OfficialLiane ClairmontExecutive Assistant · (406) 676-4441
Enumeration DateDecember 12, 2006
Last NPPES UpdateSeptember 28, 20183 updates tracked since enumeration
✔ NPI 1184785420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
104 RUFUS LN, Polson, MT 59860
Open in Google Maps ↗

Other Names 1

Doing Business AsSt. Luke Community Clinic Polson

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 27D0990026

St Luke Community Clinic Southshore · Polson, MT
Active · expires Aug 12, 2027
CLIA Number27D0990026
Laboratory TypeRural Health Clinic
Certificate Effective DateAugust 13, 2025
Certificate Expiration DateAugust 12, 2027
Laboratory DirectorDr. Tyler J. Thorson
Laboratory Phone(406) 883-2555
Laboratory LocationSt Luke Community Clinic Southshore104 Rufus Lane, Polson, MT 59860
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES G CLOUGH DPM
Podiatrist
104 RUFUS LN
POLSON, MT 59860
Lake County (406) 883-2555
DR. CARA J HARROP MD
Family Medicine
104 RUFUS LN
POLSON, MT 59860
Lake County (406) 883-2555
TANNER RYAN STALEY
Physician Assistant
104 RUFUS LN
POLSON, MT 59860
Lake County (406) 883-2555
STEPHEN ANDREW SHEPRO PA-C
Physician Assistant
104 RUFUS LN
POLSON, MT 59860
Lake County (406) 883-2555
TYLER JAY THORSON MD
Family Medicine
104 RUFUS LN
POLSON, MT 59860
Lake County (406) 883-2555
CHRISTINA SAFRON MARCHION MD
Family Medicine
104 RUFUS LN
POLSON, MT 59860
Lake County (406) 883-2555
ST PATRICKS HOSPITAL AND HEALTH SCIENCES CENTER
General Acute Care Hospital
104 RUFUS LN
POLSON, MT 59860
Lake County (406) 541-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Lukes Community Hospital's NPI number?

The NPI number for St. Lukes Community Hospital is 1184785420. It was assigned to this organization in the NPPES registry on December 12, 2006. The provider is doing business as St. Luke Community Clinic Polson.

Where is St. Lukes Community Hospital located?

St. Lukes Community Hospital is located at 104 Rufus Ln, Polson, MT 59860. The listed phone number is (406) 883-2555.

What is St. Lukes Community Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does St. Lukes Community Hospital hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 27D0990026) is associated with this NPI, valid through August 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does St. Lukes Community Hospital accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and PacificSource Health Plans list St. Lukes Community Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St. Lukes Community Hospital was last updated on September 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.