NPIMap

Organization Active NPI

Gold Street Clinic

  • Primary Care Clinic/Center
  • Butte, MT
National Provider Identifier
1386622843
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
RN14014 Issued in MT
Legal business name
GOLD STREET CLINIC
Practice address
775 W Gold St
Butte, MT 59701-2319
Phone
(406) 782-9090
Fax
(406) 782-9191
NPI assigned
Jan 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Sharon HealyNPI 1740403377
Title
Owner
Phone
(406) 782-9090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X RN14014 MT Primary

Addresses

Primary practice location

775 W Gold St
Butte, MT 59701-2319

Mailing address

775 W Gold St
Butte, MT 59701-2319
Phone (406) 782-9090

Other identifiers 1

IdentifierTypeStateIssuer
4301238MedicaidMT

National Provider Directory

National Provider Directory

Locations

775 W Gold St
Butte, MT 59701
Phone (406) 723-8204

Practitioners & affiliated clinicians

Practitioners 8

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": "1136419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386622843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 W GOLD ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012319",
            "telephone_number": "406-782-9090",
            "fax_number": "406-782-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 W GOLD ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012319",
            "telephone_number": "406-782-9090",
            "fax_number": "406-782-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD STREET CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEALY",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-782-9090",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MT",
            "license": "RN14014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4301238",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.