Active NPI
St. James Healthcare
- Family Medicine Physician
- Boulder, MT
National Provider Identifier
1255413381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ST. JAMES HEALTHCARE
- Practice address
- 214 S Main St
Boulder, MT 59632 - Phone
- (406) 225-4201
- NPI assigned
- Oct 19, 2006
- Organization subpart
- Yes
- Parent organization
- SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pam Palagi
- Title
- VP Finance
- Phone
- (406) 723-2414
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
214 S Main St
Boulder, MT 59632
Mailing address
400 S Clark St
Butte, MT 59701-2328
Phone (406) 723-2500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031122000136 | MT | Part B Supplier - Clinic/Group Practice | 3779487533 |
Receives reassigned benefits from 9 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Butte, MT |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Sisters of Charity of Leavenworth Health System Inc
Member organizations 4
Organizations listed as members of this organization in the National Provider Directory.
-
- Orthopaedic Surgery Physician
- Butte, MT
- NPI 1740446632
Member Of
-
- Family Medicine Physician
- Butte, MT
- NPI 1811153711
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651449600000",
"number": "1255413381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 S CLARK ST",
"city": "BUTTE",
"state": "MT",
"postal_code": "597012328",
"telephone_number": "406-723-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 S MAIN ST",
"city": "BOULDER",
"state": "MT",
"postal_code": "59632",
"telephone_number": "406-225-4201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. JAMES HEALTHCARE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC",
"enumeration_date": "2006-10-19",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A",
"authorized_official_last_name": "PALAGI",
"authorized_official_first_name": "PAM",
"authorized_official_title_or_position": "VP FINANCE",
"authorized_official_telephone_number": "406-723-2414"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.