Bighorn Valley Health Center, Incorporated
Organization Active NPI Federally Qualified Health Center (FQHC) · Livingston, MT
NPI 1487741005 · NPPES record last updated Oct 2, 2024
Key facts
- NPI
- 1487741005
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- BIGHORN VALLEY HEALTH CENTER, INCORPORATED
- Practice address
- 112 W Lewis St
Livingston, MT 59047-3011 - Phone
- (406) 823-6304
- Fax
- (406) 222-5798
- NPI assigned
- Oct 6, 2006
- Organization subpart
- No
Authorized official
- Name
- David Andrew Mark
- Title
- Ceo
- Phone
- (406) 665-4103
Owners & managing parties with NPI records 2
-
David Andrew Mark, M.D.
-
Curtis B Whicker, MS
Other NPIs on the same Medicare enrollment 16
Other NPIs with the same Medicare PAC ID 23
Corporate family (same tax ID) 31
Practitioners 117
-
Coralia Channing Argyrakis, MSN, APRN, FNP-C
-
Erin Colleen Bevan, FNP-C
-
Melissa Joecks, LCPC
-
Suzannah Marie Kassay, LCPC
-
Kristi Thane King, FNP
-
Christina Michel Meyers, M.D.
-
Sarah Morgan, MD
-
Liese Pessl, NPF
-
Stefanie Katherine Lange, M.D.
-
Lindsay Wimett, PA-C
-
Sara Beth Bandstra, LCSW
-
Siri Devlin, LCPC
-
Anna K Dewees, BA, MA, LCPC, LAC
-
Maren J Dunn, DO
-
Philip Alan Hess, MD
-
Maya Howell, LCSW
-
Victoria F. Kenyon, LCSW
-
Teresa Jeannette Seright, FNP-BC/C
-
Sara Elyse Stromberg, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in MT
Skilled nursing facility certification: CCN 271812
- Legal name
- BIGHORN VALLEY HEALTH CENTER INCORPORATED
- Doing business as
- ONE HEALTH - COMMUNITY HEALTH PARTNERS
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jan 1, 1998
- Last certification
- Jan 1, 1998
- Ownership / control type
- For profit – corporation
- Most recent change of ownership
- May 1, 2024 (1 total)
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 112 W Lewis St
Livingston, MT 59047
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| Martin V Thone |
Corporate Director |
Feb 1, 2018 | |
| Sara Pretty Weasel |
Corporate Director |
Jan 8, 2015 | |
| Beth Hronek |
Corporate Director |
Jun 1, 2022 | |
| Barbara Skoyen |
Corporate Director |
Nov 1, 2018 | |
| Curtis B Whicker |
Corporate Director |
Jun 1, 2022 | |
| Scott Thorn |
Corporate Director |
May 1, 2024 | |
| Kathleen Davidson |
Corporate Director |
May 1, 2024 | |
| Timothy Hardy |
Corporate Director |
Mar 11, 2013 | |
| David a Mark |
Corporate Officer |
Jun 28, 2012 | |
| W-2 Managing Employee |
Jun 28, 2012 | ||
| Eric Tiner |
Corporate Director |
Jun 8, 2017 | |
| Jacqueline Jordan Sikoski |
Corporate Director |
May 1, 2024 | |
| Andrea Martin |
Corporate Officer |
Sep 21, 2021 | |
| W-2 Managing Employee |
Sep 21, 2021 | ||
| William Briggs |
Corporate Director |
Sep 24, 2015 | |
| Eli Hofer |
Corporate Director |
Nov 1, 2018 | |
| Juanita M Sapp |
Corporate Director |
Jun 1, 2022 | |
| Samantha Lee Peirce |
Corporate Director |
May 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031211001095 | MT | Part B Supplier - Clinic/Group Practice | 5799681482 |
Receives reassigned benefits from 33 practitioners Practice locations: Belgrade, MT; Bozeman, MT; Livingston, MT |
| O20120913000593 | MT | Part B Supplier - Clinic/Group Practice | 8820246077 |
Receives reassigned benefits from 85 practitioners 16 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hardin, MT; Miles City, MT; Harlem, MT; Lewistown, MT; Livingston, MT; West Yellowstone, MT; Ashland, MT; Glendive, MT… |
| O20240925004024 | MT | Part a Provider - Skilled Nursing Facility | 8820246077 | Practice locations: Livingston, MT |
National Provider Directory
- Tax ID family
- Bighorn Valley Health Ctr
Locations
410 Triple Crown St
Rm A108
Belgrade, MT 59714
Phone (406) 388-3311
1695 Tschache Ln
Bozeman, MT 59715
Phone (406) 585-1360
126 S Main St
Livingston, MT 59047
Phone (406) 222-1111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
112 W Lewis St
Livingston, MT 59047-3011
Mailing address
112 W Lewis St
Livingston, MT 59047-3011
Phone (406) 823-6314
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7015086 | Medicaid | MT |
Other names
- One Health - Community Health Partners
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Livingston | Direct |
Other providers in Livingston, MT
- John Richard Beck
- Nicolle Michelle Bellerive
- Timothy Benson
- Erin Colleen Bevan
- Bighorn Valley Health Center Incorporated
- Billings Clinic
- Black Spire PLLC
- Alison Mary Blake
- Elizabeth Blavatsky
- BMW Consulting Inc
All providers in Livingston, MT · Federally Qualified Health Center (FQHC) in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.