BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC NPI 1528167905

NPI Information

BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC is a federally qualified health center (fqhc) clinic center in Sheridan, MT. BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC NPI is 1528167905. The provider is registered as an organization entity type.
The provider Is Doing Business As Sheridan Community Health Center.

The provider's business location address is:

317 MADISON
SHERIDAN, MT
ZIP 59749-245
Phone: (406) 842-5103
Fax: (406) 842-5110

The provider's authorized official is Cindy J Stergar .
The authorized official title is Chief Executive Officer and has the following contact phone number (406) 723-4075.

The CLIA number assigned to this NPI record is 27D0410502 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/21/2006 and was last updated on 11/28/2012.

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:

Other Identifiers

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

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