Healthcare Provider Details

I. General information

NPI: 1194038638
Provider Name (Legal Business Name): SCL HEALTH MONTANA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2010
Last Update Date: 11/24/2020
Certification Date: 11/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 ZIMMERMAN TRL
BILLINGS MT
59102-7652
US

IV. Provider business mailing address

1611 ZIMMERMAN TRL
BILLINGS MT
59102-7652
US

V. Phone/Fax

Practice location:
  • Phone: 406-248-3607
  • Fax: 406-248-4881
Mailing address:
  • Phone: 406-248-3607
  • Fax: 406-248-4881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number12129
License Number StateMT

VIII. Authorized Official

Name: PAM PALAGI
Title or Position: VP FINANCE
Credential:
Phone: 406-723-2414