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CAH271320-03 ST. JOHN'S LUTHERAN HOSPITAL DBA CABINET PEAKS MEDICAL CENTER (Active)
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Main Details
Name
ST. JOHN'S LUTHERAN HOSPITAL DBA CABINET PEAKS MEDICAL CENTER
Subdivision Name
Cabinet Peaks Medical Group
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH271320-03
Medicare Provider Number
271320
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/9/2015
Participating Start Date
1/1/2016
Participating Approval Date
12/2/2015
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
St. John's Lutheran Hospital DBA Cabinet Peaks Medical Center
Gayl Smith, Controller
(406) 283-7139
Primary Contact
Cabinet Peaks Medical Center
Amie Wells, Pharmacy Manager
(406) 283-7189
Addresses
Street Address
350 LOUISIANA AVE
LIBBY, MT 59923
Billing Address
Cabinet Peaks Medical Center
209 Health Park Drive
Libby, MT 59923
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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