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SCH270003-00 ST. PETERS HEALTH (Active)
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Main Details
Name
ST. PETERS HEALTH
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH270003-00
Medicare Provider Number
270003
Additional Details
Current Program Status
Active
Registration Date
10/10/2018
Participating Start Date
3/15/2022
Participating Approval Date
11/21/2018
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
St. Peters Health
Nathan M Coburn, CFO
(406) 444-2122
Primary Contact
St. Peter's Health
Starla Marie Blank, Director of Pharmacy
(406) 444-2355
Addresses
Street Address
2475 E Broadway St.
HELENA, MT 59601
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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