Covered Entity Details

DSH270049B St. Vincent Healthcare (Terminated) - information as of 6/21/2025 12:09:58 AM

Main Details

Name

St. Vincent Healthcare

Subdivision Name

SCL HEALTH CANCER CENTERS OF MONTANA

Type

Disproportionate Share Hospital

Rural

340B ID

DSH270049B

Medicare Provider Number

270049

Outpatient Facility Provider Number

Additional Details

Current Program Status

Terminated

Registration Date

4/8/2013

Participating Start Date

7/1/2013

Participating Approval Date

5/3/2013

Last Recertification Date

8/25/2023

Termination Date
Termination Reason

1/1/2024
Business decision by the Covered Entity

Contacts

Authorizing Official

SCL Health Montana Region
Pam Palagi, VP Financial Services
(406) 723-2414

Primary Contact

Intermountain Healthcare
Charles B. Stubbs, 340B Pharmacist
(801) 284-1113

Addresses

Street Address

1315 Golden Valley Circle
Billings, MT 59102

Billing Address

SCL HEALTH/ St. Vincent
Attn: Accounts Payable
P.O. Box 1010
Lafayette, CO 80026

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
MT		1083655997
WY		1083655997

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
DSH270049A	Child	DSH	Intermountain Health St Vincent Regional Hospital	Neurosciences-Multiple Sclerosis Center	1041 N. 29th St	Billings	MT	Active
DSH270049AA	Child	DSH	Intermountain Health St Vincent Regional Hospital	Coumadin Clinic - Ambulatory Clinical Services	2900 12th Ave N, Suite 209W	Billings	MT	Active
DSH270049B	Child	DSH	St. Vincent Healthcare	SCL HEALTH CANCER CENTERS OF MONTANA	1315 Golden Valley Circle	Billings	MT	Terminated
DSH270049C	Child	DSH	ST VINCENT HEALTHCARE	MATERNAL FETAL MEDICINE	2900 12TH AVE N STE 130W	BILLINGS	MT	Terminated
DSH270049D	Child	DSH	ST VINCENT HEALTHCARE	PAIN CENTER	2900 N 12TH AVE STE 335 W	BILLINGS	MT	Terminated
DSH270049E	Child	DSH	Intermountain Health St Vincent Regional Hospital	Neurology	1041 N 29TH ST	BILLINGS	MT	Active
DSH270049F	Child	DSH	Intermountain Health St Vincent Regional Hospital	Neurosurgery	1041 N 29TH ST	BILLINGS	MT	Active
DSH270049G	Child	DSH	ST VINCENT HEALTHCARE	PHYSIATRY	2900 12TH AVE N STE 201E	BILLINGS	MT	Terminated
DSH270049H	Child	DSH	ST VINCENT HEALTHCARE	ST VINCENT HEALTHCARE / Weight Management Clinic	2900 N 12TH AVE STE 160W	BILLINGS	MT	Terminated
DSH270049J	Child	DSH	ST VINCENT HEALTHCARE	BEHAVIOR HEALTH	2900 N 12TH AVE STE 280W	BILLINGS	MT	Terminated
DSH270049K	Child	DSH	ST VINCENT HEALTHCARE	CHILDREN'S CANCER AND BLOOD	1233 N 30TH ST	BILLINGS	MT	Terminated
DSH270049L	Child	DSH	St. Vincent Healthcare	WALK IN CLINIC	1027 North 27th Street	BILLINGS	MT	Terminated
DSH270049M	Child	DSH	ST VINCENT HEALTHCARE	WEST GRAND FAMILY MEDICINE	2750 GRAND AVE	BILLINGS	MT	Terminated
DSH270049N	Child	DSH	ST VINCENT HEALTHCARE	BROADWATER / Walk In Clinic	2019 BROADWATER AVE	BILLINGS	MT	Terminated
DSH270049P	Child	DSH	ST VINCENT HEALTHCARE	ST. VINCENT BILLINGS / Broadwater Clinic	2019 BROADWATER AVE	BILLINGS	MT	Terminated
DSH270049Q	Child	DSH	ST VINCENT HEALTHCARE	INTERNAL MEDICINE ASSOCIATES	2900 N 12TH AVE STE 310W	BILLINGS	MT	Terminated
DSH270049R	Child	DSH	ST VINCENT HEALTHCARE	LAUREL MEDICAL CENTER	1035 1ST AVE	LAUREL	MT	Terminated
DSH270049S	Child	DSH	ST VINCENT HEALTHCARE	ST VINCENT PHYSICIAN NETWORK FAMILY PRACTICE	32 WICKS LN	BILLINGS	MT	Terminated
DSH270049T	Child	DSH	Intermountain Health St Vincent Regional Hospital	Medical Infusion - Non Oncology	2900 12th Ave N, Ste 235W	Billings	MT	Active
DSH270049U	Child	DSH	Intermountain Health St Vincent Regional Hospital	Rheumatology - Rheumatology Clinic	2900 12th Ave N, Ste 503E	Billings	MT	Active
DSH270049V	Child	DSH	Intermountain Health St Vincent Regional Hospital	ST VINCENT REGIONAL HOSPITAL CANCER CENTERS OF MONTANA - Medical Oncology	1315 Golden Valley Circle	Billings	MT	Active
DSH270049W	Child	DSH	Intermountain Health St Vincent Regional Hospital	ST VINCENT REGIONAL HOSPITAL CANCER CENTERS OF MONTANA - Medical Oncology Infusion	1315 Golden Valley Circle	Billings	MT	Active
DSH270049X	Child	DSH	Intermountain Health St Vincent Regional Hospital	ST VINCENT REGIONAL HOSPITAL CANCER CENTERS OF MONTANA - Radiation Therapy	1315 Golden Valley Circle	Billings	MT	Active
DSH270049Y	Child	DSH	Intermountain Health St Vincent Regional Hospital	ST VINCENT REGIONAL HOSPITAL CANCER CENTERS OF MONTANA - Diagnostic Radiology	1315 Golden Valley Circle	Billings	MT	Active
DSH270049Z	Child	DSH	Intermountain Health St Vincent Regional Hospital	GASTRO INTESTINAL SERVICES	1144 N 28TH ST	BILLINGS	MT	Active

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	State	Update		To Be Terminated	Terminated	1/1/2024 12:01 AM
Dates	Last Date That 340B Drugs Purchased	Update	Termination Request		10/16/2023 12:00:00 AM	10/20/2023 7:14 AM
Details	State	Update	Termination Request	Active	To Be Terminated	10/20/2023 7:14 AM
Terminations	Termination Date	Update	Termination Request		1/1/2024 12:00:00 AM	10/20/2023 7:14 AM
Terminations	Termination Effective Date	Update	Termination Request		10/16/2023 12:00:00 AM	10/20/2023 7:14 AM
Terminations	Termination Reason	Update	Termination Request		Business decision by the Covered Entity	10/20/2023 7:14 AM
Details	Last Recertification Date	Update	Recertification	9/6/2022 4:26:43 PM	8/25/2023 3:54:49 PM	8/25/2023 3:54 PM
Contacts	Primary Contact	Update	Group Change Request	Maurer, JoEllen Director of Pharmacy SCL Health/St Vincent 4062378111	Stubbs, Charles B. 340B Pharmacist Intermountain Healthcare 8012841113	7/5/2023 8:35 AM
Contacts	Primary Contact	Update	Group Change Request	Maurer, JoEllen Director of Pharmacy SCL Health/St Vincent 4062378111	Maurer, JoEllen Director of Pharmacy SCL Health/St Vincent 4062378111	2/22/2023 6:57 AM
Addresses	Billing Address	Update	Recertification	SCL Health System PO box 1010 Lafayette, CO 80026	SCL HEALTH/ St. Vincent Attn: Accounts Payable P.O. Box 1010 Lafayette, CO 80026	9/6/2022 4:26 PM
Details	Last Recertification Date	Update	Recertification	9/2/2021 11:38:22 AM	9/6/2022 4:26:43 PM	9/6/2022 4:26 PM
Contacts	Authorizing Official	Update	AO Change Request	Palagi, Pam VP of Finacial Services SCL Health 4067232414	Palagi, Pam VP Financial Services SCL Health Montana Region 4067232414	9/6/2022 6:52 AM
Contacts	Primary Contact	Update	PC Change Request	Mains, Ashley Director of Pharmacy Business Services SCL Health 3038135016	Maurer, JoEllen Director of Pharmacy SCL Health/St Vincent 4062378111	6/21/2022 7:37 AM
Details	Last Recertification Date	Update	Recertification	9/4/2020 8:20:23 AM	9/2/2021 11:38:22 AM	9/2/2021 11:38 AM
Medicaid Billing	NPI: Number	Delete	Change Request	1134564255 (MT)		8/17/2021 7:17 PM
Medicaid Billing	NPI: Number	Delete	Change Request	1134564255 (WY)		8/17/2021 7:17 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1083655997	9/4/2020 8:20 AM
Medicaid Billing	NPI: State	Insert	Recertification		MT	9/4/2020 8:20 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1134564255	9/4/2020 8:20 AM
Medicaid Billing	NPI: State	Insert	Recertification		MT	9/4/2020 8:20 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1083655997	9/4/2020 8:20 AM
Medicaid Billing	NPI: State	Insert	Recertification		WY	9/4/2020 8:20 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1134564255	9/4/2020 8:20 AM
Medicaid Billing	NPI: State	Insert	Recertification		WY	9/4/2020 8:20 AM
Medicaid Billing	NPI: Number	Delete	Recertification	1083655997 ( )		9/4/2020 8:20 AM
Medicaid Billing	NPI: Number	Delete	Recertification	1134564255 ( )		9/4/2020 8:20 AM
Contacts	Primary Contact	Update	Recertification	Finneman, Lonnye Director of Pharmacy SCL Health 4062378123	Mains, Ashley Director of Pharmacy Business Services SCL Health 3038135016	9/4/2020 8:20 AM
Details	Last Recertification Date	Update	Recertification	8/26/2019 11:24:25 AM	9/4/2020 8:20:23 AM	9/4/2020 8:20 AM
Details	Entity Subname	Update	Change Request	St. Vincent Frontier Cancer Center	SCL HEALTH CANCER CENTERS OF MONTANA	9/17/2019 9:15 AM
Details	Last Recertification Date	Update	Recertification	8/16/2018 9:18:55 AM	8/26/2019 11:24:25 AM	8/26/2019 11:24 AM
Details	Last Recertification Date	Update	Recertification	11/30/2017 12:38:48 PM	8/16/2018 9:18:55 AM	8/16/2018 9:18 AM
Medicaid Billing	NPI: Number	Insert	Change Request		1083655997	3/15/2018 3:51 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1134564255	3/15/2018 3:51 PM
Contacts	Authorizing Official	Update	Change Request	Scremin, Karen Interim CFO SCL Health 3038135255	Palagi, Pam VP of Finacial Services SCL Health 4067232414	2/12/2018 11:23 AM
Addresses	Billing Address	Update	Recertification	SCL Health System 2480 West 26th Ave Suite 200B Denver, CO 80211	SCL Health System PO box 1010 Lafayette, CO 80026	11/30/2017 12:38 PM
Contacts	Primary Contact	Update	Recertification	Finneman, Lonnye Director of Pharmacy 4062378123	Finneman, Lonnye Director of Pharmacy SCL Health 4062378123	11/30/2017 12:38 PM
Details	Last Recertification Date	Update	Recertification	10/26/2017 12:16:38 PM	11/30/2017 12:38:48 PM	11/30/2017 12:38 PM
Details	Last Recertification Date	Update	Recertification	8/18/2016 12:00:00 AM	10/26/2017 12:16:38 PM	10/26/2017 12:16 PM
Contacts	Authorizing Official	Update		Scremin, Karen Interim CFO 3038135255	Scremin, Karen Interim CFO SCL Health 3038135255	10/11/2017 12:53 PM
Contacts	Signed By	Insert			Oldfield, Ron CFO 4062373314	8/9/2017 11:45 AM
Contacts	Authorizing Official	Update		Oldfield, Ron CFO 4062373314	Scremin, Karen Interim CFO 3038135255	6/28/2017 12:44 PM
Addresses	Main Address	Insert			1315 Golden Valley Circle Billings, MT 59102	6/28/2017 12:43 PM
Addresses	Billing Address	Insert			SCL Health System 2480 West 26th Ave Suite 200B Denver, CO 80211	6/28/2017 12:43 PM
Contacts	Primary Contact	Insert			Finneman, Lonnye Director of Pharmacy 4062378123	6/28/2017 12:43 PM
Contacts	Authorizing Official	Insert			Oldfield, Ron CFO 4062373314	8/18/2016 6:43 PM
Details	Last Recertification Date	Update		8/20/2015 12:00:00 AM	8/18/2016 12:00:00 AM	8/18/2016 6:43 PM
Details	Last Recertification Date	Update		8/14/2014 12:00:00 AM	8/20/2015 12:00:00 AM	8/20/2015 3:47 PM
Details	Last Recertification Date	Update		8/22/2013 12:00:00 AM	8/14/2014 12:00:00 AM	8/14/2014 2:48 PM
Details	Last Recertification Date	Update			8/22/2013 12:00:00 AM	8/22/2013 6:07 PM
Details	340B ID	Update		ISAPDSH270049B	DSH270049B	5/3/2013 5:55 PM
Dates	Participating Approval Date	Update			5/3/2013 12:00:00 AM	5/3/2013 5:55 PM
Details	State	Update		Pending	Active	5/3/2013 5:55 PM
Dates	Start Date	Update			7/1/2013 12:00:00 AM	5/3/2013 5:55 PM
Details	340B ID	Update		AP040913C	ISAPDSH270049B	4/24/2013 10:23 AM
Details	340B ID	Update		OUTPATIENT_ONLINE_REG	AP040913C	4/9/2013 8:56 PM
Details	Last Recertification Date	Insert				4/8/2013 5:57 PM
Details	Grant Number	Insert				4/8/2013 5:57 PM
Details	340B ID	Insert			OUTPATIENT_ONLINE_REG	4/8/2013 5:57 PM
Details	Is Authorizing Official EHB Data	Insert				4/8/2013 5:57 PM
Dates	Last Date That 340B Drugs Purchased	Insert				4/8/2013 5:57 PM
Details	Medicare Provider Number	Insert			270049	4/8/2013 5:57 PM
Details	Entity Name	Insert			St. Vincent Healthcare	4/8/2013 5:57 PM
Details	Program Code	Insert			DSH	4/8/2013 5:57 PM
Details	Entity Subname	Insert			St. Vincent Frontier Cancer Center	4/8/2013 5:57 PM
Dates	Participating Approval Date	Insert				4/8/2013 5:57 PM
Details	State	Insert			Pending	4/8/2013 5:57 PM
Dates	Registration Date	Insert			4/8/2013 12:00:00 AM	4/8/2013 5:57 PM
Dates	Signed By Date	Insert			4/8/2013 12:00:00 AM	4/8/2013 5:57 PM
Dates	Start Date	Insert				4/8/2013 5:57 PM
Terminations	Termination Comments	Insert				4/8/2013 5:57 PM
Terminations	Termination Date	Insert				4/8/2013 5:57 PM
Terminations	Termination Effective Date	Insert				4/8/2013 5:57 PM
Terminations	Termination Reason	Insert				4/8/2013 5:57 PM