NPIMap

Organization Active NPI

Butte Silver Bow Primary Health Care Clinic Inc

  • Community/Retail Pharmacy
  • Sheridan, MT
National Provider Identifier
1104909696
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHA-PHR-LIC-1315 Issued in MT
Legal business name
BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC INC
Practice address
317 Madison St
Sheridan, MT 59749-9636
Phone
(406) 842-7434
Fax
(406) 842-5733
NPI assigned
Oct 20, 2006
Last updated
Feb 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shawna Marie Yates, DO
Title
Executive Director
Phone
(406) 496-6018

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHA-PHR-LIC-1315 MT Primary
Compounding Pharmacy 3336C0004X PHA-PHR-LIC-1315 MT
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

317 Madison St
Sheridan, MT 59749-9636

Mailing address

PO Box 525
Sheridan, MT 59749-0525
Phone (406) 842-7434

National Provider Directory

National Provider Directory
Tax ID family
Dillon Community Health4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1104909696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 525",
            "city": "SHERIDAN",
            "state": "MT",
            "postal_code": "597490525",
            "telephone_number": "406-842-7434",
            "fax_number": "406-842-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 MADISON ST",
            "city": "SHERIDAN",
            "state": "MT",
            "postal_code": "597499636",
            "telephone_number": "406-842-7434",
            "fax_number": "406-842-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "406-496-6018",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MT",
            "license": "PHA-PHR-LIC-1315",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MT",
            "license": "PHA-PHR-LIC-1315",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.