Active NPI
SCL Health Montana
Doing business as Pediatric Specialty Clinic
- Clinic/Center
- Billings, MT
National Provider Identifier
1649211103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 9717
- Legal business name
- SCL HEALTH MONTANA
- Doing business as
- Pediatric Specialty Clinic
- Practice address
- 1230 N 30TH St
Suite 100
Billings, MT 59101-0128 - Phone
- (406) 237-4280
- Fax
- (406) 237-4285
- NPI assigned
- Jun 8, 2006
- Last updated
- Nov 24, 2020
- 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 |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 9717 | MT | Primary |
Addresses
Primary practice location
1230 N 30TH St
Suite 100
Billings, MT 59101-0128
Mailing address
1230 N 30TH St
Suite 100
Billings, MT 59101-0128
Phone (406) 237-4280
Other names 1
- Pediatric Specialty Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031229000380 | MT | Part B Supplier - Clinic/Group Practice | 3476457714 |
Receives reassigned benefits from 195 practitioners This NPI is an additional NPI on the enrollment Practice locations: Red Lodge, MT; Miles City, MT; Bozeman, MT; Billings, MT |
National Provider Directory
National Provider Directory- Part of
- Sisters of Charity of Leavenworth Health System Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606176000000",
"number": "1649211103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 N 30TH ST",
"address_2": "SUITE 100",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591010128",
"telephone_number": "406-237-4280",
"fax_number": "406-237-4285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 N 30TH ST",
"address_2": "SUITE 100",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591010128",
"telephone_number": "406-237-4280",
"fax_number": "406-237-4285"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCL HEALTH MONTANA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC",
"enumeration_date": "2006-06-08",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"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": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "MT",
"license": "9717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pediatric Specialty Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Pediatric Specialty Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Billings, MT
- SCL Health Montana (Hospitalist Program)
- SCL Health Montana (SCL Health Montana - HELP Flight)
- SCL Health Montana (SVPN Neurosurgery)
- SCL Health Montana (Sleep Center)
- SCL Health Montana (St. Vincent Physician Network, North 27th Street)
- SCL Health Montana (St Vincent Regional Hospital - Ortho Trauma)
- SCL Health Montana (St. Vincent Medical Supply & Mobility)
- SCL Health Montana (St. Vincent Physician Network Childrens Cancer and Blood Disorder)
- SCL Health Montana (SVPN Weight Management Clinic)
- SCL Health Montana (Pediatric Cardiology)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.