Bullhook Community Health Center, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

27201 Issued in MT

Legal business name

BULLHOOK COMMUNITY HEALTH CENTER, INC.

Doing business as

Bullhook Community Health Center Pharmacy

Practice address

521 4TH St
Havre, MT 59501-3649

Phone

(406) 395-6906

Fax

(406) 395-5643

NPI assigned

Nov 12, 2014

Last updated

Dec 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rozan Wiederrich Kerr

Title

Patient Accounts Manager

Phone

(406) 395-6919

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Bullhook Community Health Center Pharmacy Doing business as

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HFDICA

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1497151971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 4TH ST",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595013649",
            "telephone_number": "406-395-6906",
            "fax_number": "406-395-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 4TH ST",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595013649",
            "telephone_number": "406-395-6906",
            "fax_number": "406-395-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULLHOOK COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "WIEDERRICH KERR",
        "authorized_official_first_name": "ROZAN",
        "authorized_official_title_or_position": "PATIENT ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "406-395-6919"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MT",
            "license": "27201",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148682",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7169968",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bullhook Community Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bullhook Community Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dorothy Y Bradbury, M.D.
• Cindy Lee Brandon, PHARM D
• Hailey Breum, ACLC
• Bridging Pathways LLC
• Bright Path Mental Health, PLLC
• Bullhook Community Health Center, Inc. (Bullhook Clinic)
• C/P Counseling Services LLC
• Caroline Calabria, DPT
• David Norman Call, OTR
• Michelle L Cameron-Donaldson, MD

• Community/Retail Pharmacy in Havre, MT
• Providers in Havre, MT by specialty
• Community/Retail Pharmacy in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.