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

Active since July 08, 2016
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: August 02, 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 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

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
Expired · Jul 10, 2026
CLIA Number27D2115622
Laboratory TypePhysician Office
Certificate Effective DateJuly 11, 2024
Certificate Expiration DateJuly 10, 2026
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.

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.