Healthcare Provider Details
I. General information
NPI: 1700130226
Provider Name (Legal Business Name): SCL HEALTH MONTANA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/06/2012
Last Update Date: 11/30/2020
Certification Date: 11/30/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1233 N 30TH ST
BILLINGS MT
59101-0127
US
IV. Provider business mailing address
1233 N 30TH ST
BILLINGS MT
59101-0127
US
V. Phone/Fax
- Phone: 406-237-5340
- Fax: 406-237-5345
- Phone: 406-237-5340
- Fax: 406-237-5345
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QX0203X |
| Taxonomy | Radiation Oncology Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PAM
PALAGI
Title or Position: VP FINANCE
Credential:
Phone: 406-723-2414