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INTERMOUNTAIN HEALTH GOOD SAMARITAN HOSP
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 HEALTH GOOD SAMARITAN HOSP
Pharmacy Address
PHARMACY DEPT
200 EXEMPLA CIR
LAFAYETTE, CO 80026
Pharmacy Comments
Contract Details
Approval Date
10/15/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/12/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Travis Scheving, CFO
(406) 723-2414
Contract Pharmacy Representative
SCLHS
Daniel Madrid, Outpatient Pharmacy
(303) 689-6121
Signed By Date
10/15/2015
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