BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC INC


Address: 110 Oak St, Anaconda, MT 59711-2335
Phone: 4065630771

BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC INC (NPI# 1225502073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225502073
Entity Type Organization
Organization Name BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC INC
Other Organization Name SOUTHWEST MONTANA COMMUNITY HEALTH CENTER
Practice Address 110 Oak St
Anaconda
MT 59711-2335
Mailing Address 445 Centennial Ave
Butte
MT 59701-2870
Practice Telephone 4065630771
Practice Fax Number 4065630774
Mailing Telephone 4067234075
Mailing Fax Number 4064966035
Enumeration Date 2019-01-15
Last Update Date 2019-08-19
Authorized Official Name JENNIFER MALONE (CEO)
Authorized Official Telephone 4064966018
Is Organization Subpart Y
Parent Organization Name BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QC1500X Clinic/Center
Specialization: Community Health
Ambulatory Health Care Facilities
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Southwest Montana Community Health Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1407877475 Butte Silver Bow Primary Health Care Clinic Inc Pharmacy 1145 S Montana St, Butte, MT 59701-2857 2006-07-22
1144883984 Butte Silver Bow Primary Health Care Clinic Inc Pharmacy 125 E Glendale St, Dillon, MT 59725-2505 2019-04-17
1104909696 Butte Silver Bow Primary Health Care Clinic Inc Pharmacy 317 Madison St, Sheridan, MT 59749-9636 2006-10-20

Office Location

Street Address 110 OAK ST
City ANACONDA
State MT
Zip Code 59711-2335

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275631863 Kathleen A Russell Nurse Practitioner 110 Oak St, Anaconda, MT 59711-2335 2006-09-20
1871042150 Emily Rice Social Worker 110 Oak St, Anaconda, MT 59711-2335 2016-09-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790398725 Wendra Ann Wendt Massage Therapist 1608 Ogden St, Anaconda, MT 59711 2020-08-28
1104325372 Pintler Pharmacy Inc. Pharmacy 203 East Park, Anaconda, MT 59711 2018-02-02
1871045591 Austin Peaslee Behavioral Analyst 205 East Park, Anaconda, MT 59711 2016-10-28
1356765747 William Leroy Foster Jr. Counselor 1250 Harrison Ave, Butte, MT 59711 2014-02-06
1346464310 Cheryl Anne Dunn Speech-Language Pathologist 1771 Obsidian Lane, Anaconda, MT 59711 2007-04-12
1043304504 Gerianne Roberta Marchion Counselor 307 E Park Ave. #208, Anaconda, MT 59711 2006-10-02
1427153881 Community Hospital of Anaconda Internal Medicine 401 W Pennsylvania, Anaconda, MT 59711 2006-09-13
1851301121 Renee S. Riley-finnegan Counselor 307 E. Park Glacier Bank Bldg., Ste. 310a, Anaconda, MT 59711 2006-08-09
1942234513 Richard Roy Jensen Physical Therapist 3383 Lost Creek Rd, Anaconda, MT 59711 2006-07-10
1982656229 William M Reiter Internal Medicine 606 E Park Ave, Anaconda, MT 59711 2006-05-16
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

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1669081931 Partnership Health Center Inc Clinic/Center 1720 Wyoming St Ste 201, Missoula, MT 59801-1526 2020-07-23
1336767789 Confederated Salish & Kootenai Tribes of The Flathead Reservation Clinic/Center 35928 Joe Mcdonald Drive, Pablo, MT 59855 2020-07-13
1629696067 Confederated Salish & Kootenai Tribes of The Flathead Reservation Clinic/Center 71972 Bitterroot Jim Road, Arlee, MT 59821 2020-07-13
1962020461 Confederated Salish & Kootenai Tribes of The Flathead Reservation Clinic/Center #5 Fourth Ave East, Polson, MT 59860-2117 2020-07-10
1619595113 Confederated Salish & Kootenai Tribes of The Flathead Reservation Clinic/Center 33116 Us Highway 93 North, Elmo, MT 59915-7707 2020-07-10
1750926762 Partnership Health Center Inc Clinic/Center 901 S 6th St W, Missoula, MT 59801-3752 2019-11-13
1790275709 Marias Healthcare Services Inc Clinic/Center 1 4th Ave Se, Conrad, MT 59425-2323 2018-05-15
1215436092 Yellowstone City-county Health Department Clinic/Center 515 N 27th St, Billings, MT 59101 2018-02-07
1902305790 Yellowstone City-county Health Department Clinic/Center 3005 1st Ave S, Billings, MT 59101 2018-02-07
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Competitor

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City ANACONDA
Zip Code 59711

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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