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Contact Information

BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC
317 MADISON
SHERIDAN, MT59749-0245
 Phone: 406-842-5103
 Fax: 406-842-5110
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Clinic/Center

261Q00000X
Indicates primary specialty

NPI Profile & details for BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC

NPI Number 1528167905
LBN Legal business name BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC
Authorized official CINDY STERGAR - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/21/2006
Last updated 11/28/2012 - About 14 years ago
Identifiers
MT Medicaid 0730028
MO Other 95608222 MT BREAST & CERVICAL PROG
MT Other 63392 BCBS
MT Other CK5130 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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