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INTERMOUNTAIN PHARMACY #12
CAH271347-00 Holy Rosary Healthcare dba Intermountain Health Holy Rosary Hospital
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Covered Entity Details
Entity Name
Holy Rosary Healthcare dba Intermountain Health Holy Rosary Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH271347-00
Entity Address
2600 Wilson Street
Miles City, MT 59301
Medicare Provider Number
271347
Participating Start Date
10/1/2011
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
INTERMOUNTAIN PHARMACY #12
Pharmacy Address
1233 N 30TH ST
STE W103
BILLINGS, MT 59101
Pharmacy Comments
Contract Details
Approval Date
10/13/2022
Contract Begin Date
10/24/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Pam Palagi, VP Financial Services
(406) 723-2414
Contract Pharmacy Representative
SCL Health Pharmacy Services
Rhiannon Longmore, Pharmacy Business Operations Manager
(303) 272-0922
Signed By Date
10/13/2022
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