Organization
BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA MARIE YATES DO (EXECUTIVE DIRECTOR)
(406) 496-6018
Entity
Organization
Contact information
Practice address
317 MADISON ST, SHERIDAN, MT 59749-9636
(406) 842-7434
(406) 842-5733
Mailing address
PO BOX 525, SHERIDAN, MT 59749-0525
(406) 842-7434
(406) 842-5733
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHA-PHR-LIC-1315
MT
3336C0004X
Compounding Pharmacy
PHA-PHR-LIC-1315
MT
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104909696
—
MT
01
—
2052510
PK
—
Enumeration date
10/20/2006
Last updated
02/14/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us