Organization
BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC INC
Active
Other names
Blacktail Health Pharmacy, Community Health Center Pharmacy, Southwest Montana CHC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA M MEDINA (CREDENTIALING COORDINATOR)
(406) 496-6045
Entity
Organization
Contact information
Practice address
1145 S MONTANA ST, BUTTE, MT 59701-2857
(406) 496-6026
(406) 723-4076
Mailing address
1145 S MONTANA ST, BUTTE, MT 59701-2857
(406) 496-6026
(406) 723-4076
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHA-PHR-LIC-8732
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407877475
—
MT
01
—
2052038
PK
—
Enumeration date
07/22/2006
Last updated
02/12/2026
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