Organization
GOLD STREET CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON HEALY (OWNER)
(406) 782-9090
Entity
Organization
Contact information
Practice address
775 W GOLD ST, BUTTE, MT 59701-2319
(406) 782-9090
(406) 782-9191
Mailing address
775 W GOLD ST, BUTTE, MT 59701-2319
(406) 782-9090
(406) 782-9191
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
RN14014
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4301238
—
MT
Enumeration date
01/05/2006
Last updated
08/22/2020
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