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Contact Information

BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC INC
317 MADISON ST
SHERIDAN, MT59749-9636
 Phone: 406-842-7434
 Fax: 406-842-5733
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

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

NPI # 1104909696
LBN Legal business name BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC INC
Authorized official SHAWNA YATES - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/20/2006
Last updated 02/14/2022 - About 4 years ago
Identifiers
MT License # PHA-PHR-LIC-1315
MT Medicaid 1104909696
Other 2052510 PK
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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