Provider Demographics
NPI:1699724401
Name:SCL HEALTH MONTANA
Entity type:Organization
Organization Name:SCL HEALTH MONTANA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:PAM
Authorized Official - Middle Name:
Authorized Official - Last Name:PALAGI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-723-2414
Mailing Address - Street 1:1101 N 27TH ST STE A
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-0100
Mailing Address - Country:US
Mailing Address - Phone:406-237-8900
Mailing Address - Fax:406-237-8905
Practice Address - Street 1:1101 N 27TH ST STE A
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-0100
Practice Address - Country:US
Practice Address - Phone:406-237-8900
Practice Address - Fax:406-237-8905
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-09
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT0700019058332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY105709004Medicaid
2783202OtherNCPDP PROVIDER IDENTIFICATION NUMBER
MT0562836Medicaid
MT0562836Medicaid