340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
IHC HEALTH SERVICES, INC.
DSH270017 St. James Healthcare dba Intermountain Health St. James Hospital
Print
Covered Entity Details
Entity Name
St. James Healthcare dba Intermountain Health St. James Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH270017
Entity Address
400 SOUTH CLARK STREET
BUTTE, MT 59701
Medicare Provider Number
270017
Participating Start Date
4/1/2023
Last Recertification Date
8/19/2024
Entity Termination Date
7/1/2025
Pharmacy Details
Pharmacy Name
IHC HEALTH SERVICES, INC.
Pharmacy Address
DBA: INTERMOUNTAIN HOME DELIVERY PHARMAC
DBA: INTERMOUNTAIN SPECIALTY PHARMACY
7268 S BINGHAM JUNCTION BLVD STE B1
MIDVALE, UT 84047
Pharmacy Comments
Contract Details
Approval Date
10/19/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Pam Palagi, VP Financial Services
(406) 723-2414
Contract Pharmacy Representative
Intermountain Healthcare
Carrie Dunford, Chief Pharmacy Officer
(801) 284-1004
Signed By Date
10/19/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session