Covered Entity Details

DSH270049Q ST VINCENT HEALTHCARE (Terminated) - information as of 6/2/2025 8:31:40 AM

Main Details

Name

ST VINCENT HEALTHCARE

Subdivision Name

INTERNAL MEDICINE ASSOCIATES

Type

Disproportionate Share Hospital

Rural

340B ID

DSH270049Q

Medicare Provider Number

270049

Outpatient Facility Provider Number

Additional Details

Current Program Status

Terminated

Registration Date

10/15/2015

Participating Start Date

1/1/2016

Participating Approval Date

10/30/2015

Last Recertification Date

8/18/2016

Termination Date
Termination Reason

7/1/2017
Site closure

Contacts

Authorizing Official

SCL Health
Pam Palagi, VP of Finacial Services
(406) 723-2414

Primary Contact

SCL Health
Lonnye Finneman, Director of Pharmacy
(406) 237-8100

Addresses

Street Address

2900 N 12TH AVE STE 310W
INTERNAL MEDICINE ASSOCIATES
BILLINGS, MT 59101-0174

Billing Address
Same as Street Address

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?
No

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
Contacts	Primary Contact	Update	Reinstatement	Finneman, Lonnye Director of Pharmacy 4062378100	Finneman, Lonnye Director of Pharmacy SCL Health 4062378100	5/25/2018 5:05 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
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	Insert			Scremin, Karen Interim CFO 3038135255	6/28/2017 12:44 PM
Contacts	Primary Contact	Insert			Finneman, Lonnye Director of Pharmacy 4062378100	6/1/2017 1:48 PM
Addresses	Main Address	Insert			2900 N 12TH AVE STE 310W INTERNAL MEDICINE ASSOCIATES BILLINGS, MT 59101-0174	6/1/2017 1:47 PM
Dates	Last Date That 340B Drugs Purchased	Update			5/31/2017 12:00:00 AM	6/1/2017 1:47 PM
Details	State	Update		Active	Terminated	6/1/2017 1:47 PM
Terminations	Termination Comments	Update			No longer in reimbursable section of cost report	6/1/2017 1:47 PM
Terminations	Termination Date	Update			7/1/2017 12:00:00 AM	6/1/2017 1:47 PM
Terminations	Termination Effective Date	Update			5/31/2017 12:00:00 AM	6/1/2017 1:47 PM
Terminations	Termination Reason	Update			Site closure	6/1/2017 1:47 PM
Details	Last Recertification Date	Update			8/18/2016 12:00:00 AM	8/18/2016 6:43 PM
Dates	Participating Approval Date	Update			10/30/2015 12:00:00 AM	10/30/2015 11:43 AM
Details	State	Update		Pending	Active	10/30/2015 11:43 AM
Dates	Start Date	Update			1/1/2016 12:00:00 AM	10/30/2015 11:43 AM
Details	340B ID	Update		OUTPATIENT_ONLINE_REG_55891	DSH270049Q	10/29/2015 1:41 PM
Details	Entity Subname	Update		ST VINCENT HEALTHCARE	INTERNAL MEDICINE ASSOCIATES	10/29/2015 1:41 PM
Details	340B ID	Update			OUTPATIENT_ONLINE_REG_55891	10/15/2015 10:54 AM
Details	Last Recertification Date	Insert				10/15/2015 10:54 AM
Details	Grant Number	Insert				10/15/2015 10:54 AM
Details	340B ID	Insert				10/15/2015 10:54 AM
Details	Is Authorizing Official EHB Data	Insert				10/15/2015 10:54 AM
Dates	Last Date That 340B Drugs Purchased	Insert				10/15/2015 10:54 AM
Details	Medicare Provider Number	Insert			270049	10/15/2015 10:54 AM
Details	Entity Name	Insert			ST VINCENT HEALTHCARE	10/15/2015 10:54 AM
Details	Program Code	Insert			DSH	10/15/2015 10:54 AM
Details	Entity Subname	Insert			ST VINCENT HEALTHCARE	10/15/2015 10:54 AM
Dates	Participating Approval Date	Insert				10/15/2015 10:54 AM
Details	State	Insert			Pending	10/15/2015 10:54 AM
Dates	Registration Date	Insert			10/15/2015 12:00:00 AM	10/15/2015 10:54 AM
Dates	Signed By Date	Insert			10/15/2015 12:00:00 AM	10/15/2015 10:54 AM
Dates	Start Date	Insert				10/15/2015 10:54 AM
Terminations	Termination Comments	Insert				10/15/2015 10:54 AM
Terminations	Termination Date	Insert				10/15/2015 10:54 AM
Terminations	Termination Effective Date	Insert				10/15/2015 10:54 AM
Terminations	Termination Reason	Insert				10/15/2015 10:54 AM