Provider Demographics
NPI:1801148374
Name:ST JAMES HEALTHCARE
Entity type:Organization
Organization Name:ST JAMES HEALTHCARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:PAM
Authorized Official - Middle Name:
Authorized Official - Last Name:PALAGI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-723-2414
Mailing Address - Street 1:435 S CRYSTAL ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-1506
Mailing Address - Country:US
Mailing Address - Phone:406-723-2603
Mailing Address - Fax:406-723-2604
Practice Address - Street 1:435 S CRYSTAL ST
Practice Address - Street 2:SUITE 210
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-1506
Practice Address - Country:US
Practice Address - Phone:406-496-3610
Practice Address - Fax:406-496-3653
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-10-09
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory