Healthcare Provider Details

I. General information

NPI: 1225389265
Provider Name (Legal Business Name): SCL HEALTH MONTANA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2012
Last Update Date: 11/24/2020
Certification Date: 11/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1315 GOLDEN VALLEY CIR
BILLINGS MT
59102-6746
US

IV. Provider business mailing address

1315 GOLDEN VALLEY CIR
BILLINGS MT
59102-6746
US

V. Phone/Fax

Practice location:
  • Phone: 406-238-6290
  • Fax: 406-238-6280
Mailing address:
  • Phone: 406-238-6290
  • Fax: 406-238-6280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QX0203X
TaxonomyRadiation Oncology Clinic/Center
License Number12129
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code261QX0200X
TaxonomyOncology Clinic/Center
License Number12129
License Number StateMT

VIII. Authorized Official

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