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DSH270017 St. James Healthcare dba Intermountain Health St. James Hospital (ToBeTerminated)
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Main Details
Name
St. James Healthcare dba Intermountain Health St. James Hospital
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH270017
Medicare Provider Number
270017
Additional Details
Current Program Status
ToBeTerminated
Registration Date
1/4/2023
Participating Start Date
4/1/2023
Participating Approval Date
1/10/2023
Last Recertification Date
8/19/2024
Termination Date
Termination Reason
7/1/2025
Change of covered entity type
Contacts
Authorizing Official
SCL Health Montana Region
Pam Palagi, VP Financial Services
(406) 723-2414
Primary Contact
Intermountain Health
Ben Landry, 340B Pharmacist
(207) 200-5264
Addresses
Street Address
400 SOUTH CLARK STREET
BUTTE, MT 59701
Billing Address
Intermountain Health St. James Hospital
Attn: Accounting
P.O. Box 1010
Lafayette, CO 80026
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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