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INTERMOUNTAIN PHARMACY #11
SCH270017-00 SAINT JAMES HEALTHCARE
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Covered Entity Details
Entity Name
SAINT JAMES HEALTHCARE
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH270017-00
Entity Address
400 SOUTH CLARK
BUTTE, MT 59701
Medicare Provider Number
270017
Participating Start Date
7/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
INTERMOUNTAIN PHARMACY #11
Pharmacy Address
SCL HEALTH PHARMACY SERVICES
435 S CRYSTAL ST STE 230
BUTTE, MT 59701
Pharmacy Comments
Contract Details
Approval Date
4/28/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
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
4/14/2025
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