Organization
BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC INC
Active
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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