ST. LUKE COMMUNITY CLINIC RIDGEWATER
NPI 1548612096
Clinic/Center - Rural Health in Polson, MT

Active since July 08, 2016CLIA 27D2115622 · Microscopy
107 RIDGEWATER DR, STE A, POLSON, MT 59860(406) 883-3737(406) 883-2669 Get Directions Write a Review

NPPES record last updated: September 28, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 28, 2018, Mar 23, 2017 (2 updates tracked since 2017).

About St. Luke Community Clinic Ridgewater NPPES

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

ST. LUKE COMMUNITY CLINIC RIDGEWATER (NPI 1548612096) is a healthcare organization registered as a rural health in Polson, Montana and active in the NPI registry since July 2016. The organization holds a CLIA Microscopy certificate valid through July 10, 2028 and lists Steven J Todd, Ceo, as its authorized official.

NPPES Registry Identity

NPI1548612096
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameST LUKES COMMUNITY HOSPITAL
Location Address107 RIDGEWATER DR, STE APolson, MT 59860-8977
Mailing Address107 Ridgewater Dr, Ste APolson, MT 59860-8977 · (406) 883-3737 · Fax (406) 883-2669
Fax(406) 883-2669
Organization SubpartNo
Authorized OfficialSteven J ToddCeo · (406) 676-4441
Enumeration DateJuly 8, 2016
Last NPPES UpdateSeptember 28, 20182 updates tracked since enumeration
✔ NPI 1548612096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedClinic/Center · Hearing and SpeechTaxonomy 261QH0700X
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
107 RIDGEWATER DR, STE A, Polson, MT 59860

Other Names 1

Doing Business AsSt. Luke Community Clinic Ridgewater

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St. Luke Community Clinic Ridgewater is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

77

Medicare enrollment records show 77 clinicians reassign Medicare billing to St. Luke Community Clinic Ridgewater, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 18

Diagnostic Radiology25
Family Practice17
Nurse Practitioner7
Emergency Medicine6
Certified Registered Nurse Anesthetist (CRNA)3
Clinical Social Worker3
General Practice2
Internal Medicine2
10 other specialties12

Nearest to this location (20)

See all 77
Family Practice
NPI 1437680758
107 RIDGEWATER DR STE A
Polson, MT 59860
(406) 883-3737
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1043878846
107 RIDGEWATER DR
Polson, MT 59860
(406) 883-2667
✔ Accepts MedicareSame address
Family Practice
NPI 1770160558
107 RIDGEWATER DR
Polson, MT 59860
(406) 883-3737
✔ PECOSSame address
Nurse Practitioner
NPI 1417663444
107 RIDGEWATER DR
Polson, MT 59860
(406) 994-3597
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1932273927
107 RIDGEWATER DR
Polson, MT 59860
(406) 883-3737
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1629336953
107 RIDGEWATER DR
Polson, MT 59860
(406) 883-3737
✔ PECOS✔ Accepts Medicare0.1 mi
Physical Therapist in Private Practice
NPI 1336576016
107 RIDGEWATER DR
Polson, MT 59860
(406) 883-3737
✔ Accepts Medicare0.1 mi
Podiatry
NPI 1013999846
104 RUFUS LN
Polson, MT 59860
(406) 883-2555
✔ PECOS0.4 mi
Family Practice
NPI 1750692810
104 RUFUS LN
Polson, MT 59860
(406) 883-2555
✔ PECOS✔ Accepts Medicare0.4 mi
General Practice
NPI 1548647290
104 RUFUS LN
Polson, MT 59860
(406) 883-2555
✔ PECOS✔ Accepts Medicare0.4 mi
Family Practice
NPI 1023450798
126 6TH AVE SW
Ronan, MT 59864
(406) 676-3600
✔ PECOS✔ Accepts Medicare11 mi
Clinical Social Worker
NPI 1528710233
126 6TH AVE SW
Ronan, MT 59864
(406) 676-3600
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1073208757
126 6TH AVE SW
Ronan, MT 59864
(406) 676-3600
✔ PECOS✔ Accepts Medicare11 mi
Emergency Medicine
NPI 1396308789
107 6TH AVE SW
Ronan, MT 59864
(406) 676-4441
✔ PECOS✔ Accepts Medicare11 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1780625814
107 6TH AVE SW
Ronan, MT 59864
(406) 676-4441
✔ Accepts Medicare11 mi
Occupational Therapist in Private Practice
NPI 1346570009
107 6TH AVE SW
Ronan, MT 59864
(406) 676-4441
✔ Accepts Medicare11 mi
General Surgery
NPI 1134415201
107 6TH AVE SW
Ronan, MT 59864
(406) 676-4441
✔ PECOS✔ Accepts Medicare11 mi
Psychiatry
NPI 1740341189
126 6TH AVE. SW ST. LUKE COMMUNITY CLINCI RONAN
Ronan, MT 59864
(406) 676-4441
✔ PECOS✔ Accepts Medicare11 mi
General Practice
NPI 1295112944
126 6TH AVE SW
Ronan, MT 59864
(406) 676-3600
✔ PECOS✔ Accepts Medicare11 mi
Orthopedic Surgery
NPI 1033186655
126 6TH AVE SW
Ronan, MT 59864
(406) 676-4441
✔ PECOS✔ Accepts Medicare11 mi
See all 77 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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) 27D2115622

St Luke Community Clinic Ridgewater · Polson, MT
Active · expires Jul 10, 2028
CLIA Number27D2115622
Laboratory TypePhysician Office
Certificate Effective DateJuly 11, 2026
Certificate Expiration DateJuly 10, 2028
Laboratory DirectorDr. Kelli A. Larson
Laboratory Phone(406) 883-3737
Laboratory LocationSt Luke Community Clinic Ridgewater107 Ridgewater Dr, Polson, MT 59860
CLIA data matches this NPI record on: Address Name 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.

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 1548612096. It was assigned to this organization in the NPPES registry on July 8, 2016. The provider is doing business as St. Luke Community Clinic Ridgewater.

Where is St Lukes Community Hospital located?

St Lukes Community Hospital is located at 107 Ridgewater Dr, Ste A, Polson, MT 59860. The listed phone number is (406) 883-3737.

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.

Is St Lukes Community Hospital enrolled in Medicare?

Yes. St Lukes Community Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St Lukes Community Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 77 clinicians in 18 Medicare specialties reassign their Medicare billing to St Lukes Community Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (25), Family Practice (17) and Nurse Practitioner (7). Of these, 4 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does St Lukes Community Hospital hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 27D2115622) is associated with this NPI, valid through July 10, 2028. 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 8 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.