Provider Type Icon

BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC INC NPI 1104909696


NPI Information

NPI: 1104909696
Provider Name: BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC INC
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
317 MADISON ST
SHERIDAN, MT
ZIP 59749
Phone: (406) 842-7434
Get Directions

BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC INC is a community/retail pharmacy pharmacy in Sheridan, MT. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC INC NPI is 1104909696. The provider is registered as an organization entity type.

The provider's business location address is:

317 MADISON ST
SHERIDAN, MT
ZIP 59749-636
Phone: (406) 842-7434
Fax: (406) 842-5733

The provider's authorized official is Shawna Marie Yates .
The authorized official title is Executive Director and has the following contact phone number (406) 496-6018.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 2/14/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0004XPharmacyCompounding PharmacyPHA-PHR-LIC-1315MONTANANo
33336L0003XPharmacyLong Term Care PharmacyNo
43336C0003XPharmacyCommunity/Retail PharmacyPHA-PHR-LIC-1315MONTANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11104909696MEDICAIDMONTANA
22052510OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.