Healthcare Provider Details

I. General information

NPI: 1205089588
Provider Name (Legal Business Name): ST PETERS COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2008
Last Update Date: 04/15/2022
Certification Date: 04/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 E BROADWAY ST
HELENA MT
59601-4905
US

IV. Provider business mailing address

2550 E BROADWAY ST
HELENA MT
59601-4905
US

V. Phone/Fax

Practice location:
  • Phone: 406-444-2200
  • Fax: 406-495-6809
Mailing address:
  • Phone: 406-444-2200
  • Fax: 406-447-2407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number1272
License Number StateMT

VIII. Authorized Official

Name: STARLA BLANK
Title or Position: SENIOR DIRECTOR OF THERAPEUTICS
Credential: PHARMD
Phone: 406-444-2355