NPIMap

Organization Active NPI

Butte Silver Bow Primary Health Care Clinic Inc

Doing business as Blacktail Health Pharmacy

  • Community/Retail Pharmacy
  • Butte, MT
National Provider Identifier
1407877475
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHA-PHR-LIC-8732 Issued in MT
Legal business name
BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC INC
Doing business as
Blacktail Health Pharmacy
Community Health Center Pharmacy
Southwest Montana CHC Pharmacy
Practice address
1145 S Montana St
Butte, MT 59701-2857
Phone
(406) 496-6026
Fax
(406) 723-4076
NPI assigned
Jul 22, 2006
Last updated
Feb 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Authorized official

Name
Kayla M Medina
Title
Credentialing Coordinator
Phone
(406) 496-6045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHA-PHR-LIC-8732 MT Primary

Addresses

Primary practice location

1145 S Montana St
Butte, MT 59701-2857

Mailing address

1145 S Montana St
Butte, MT 59701-2857
Phone (406) 496-6026

Other names 3

  • Blacktail Health Pharmacy Doing business as
  • Community Health Center Pharmacy Doing business as
  • Southwest Montana CHC Pharmacy Doing business as

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.

Locations

1145 S Montana St
Butte, MT 59701
Phone (406) 496-6026

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": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1407877475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 S MONTANA ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012857",
            "telephone_number": "406-496-6026",
            "fax_number": "406-723-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 S MONTANA ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012857",
            "telephone_number": "406-496-6026",
            "fax_number": "406-723-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "406-496-6045"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MT",
            "license": "PHA-PHR-LIC-8732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blacktail Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southwest Montana CHC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 12, 2026; 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.