Organization
BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC INC
Active
Other names
Southwest Montana Community Health Center, SWMTCHC Dental, Blacktail Health Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA M MEDINA (CREDENTIALING COORDINATOR)
(406) 496-6045
Entity
Organization
Contact information
Practice address
445 CENTENNIAL AVE, BUTTE, MT 59701-2870
(406) 496-6007
Mailing address
445 CENTENNIAL AVE, BUTTE, MT 59701-2870
(406) 496-6007
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0730028
—
MT
01
—
63392
BCBS
MT
Enumeration date
09/27/2006
Last updated
02/12/2026
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