Organization
BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC INC
Active
Other names
Blacktail Health, Southwest Montana Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA M MEDINA (CREDENTIALING COORDINATOR)
(406) 496-6040
Entity
Organization
Contact information
Practice address
445 CENTENNIAL AVE, BUTTE, MT 59701-2870
(406) 723-4075
(406) 723-3059
Mailing address
445 CENTENNIAL AVE, BUTTE, MT 59701-2870
(406) 723-4075
(406) 496-6035
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000063392
BCBS
MT
05
—
0730028
—
MT
01
—
95601009
MT BREAST & CERVICAL PROG
MT
Enumeration date
09/27/2006
Last updated
02/12/2026
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