Healthcare Provider Details

I. General information

NPI: 1578809984
Provider Name (Legal Business Name): ST. JAMES HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2012
Last Update Date: 05/02/2022
Certification Date: 05/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 S CLARK ST
BUTTE MT
59701-2328
US

IV. Provider business mailing address

400 S CLARK ST
BUTTE MT
59701-2328
US

V. Phone/Fax

Practice location:
  • Phone: 406-723-2500
  • Fax:
Mailing address:
  • Phone: 406-723-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number
License Number State

VIII. Authorized Official

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