NPIMap

Organization Active NPI

Bighorn Valley Health Center Incorporated

Doing business as Bozeman CHP Pharmacy

  • Community/Retail Pharmacy
  • Bozeman, MT
National Provider Identifier
1598387409
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BIGHORN VALLEY HEALTH CENTER INCORPORATED
Doing business as
Bozeman CHP Pharmacy
Practice address
1695 Tschache LN
Bozeman, MT 59715-7963
Phone
(406) 922-0843
Fax
(406) 922-0885
NPI assigned
May 13, 2020
Last updated
Aug 29, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
BIGHORN VALLEY HEALTH CENTER INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
Shawn Glenn PatrickNPI 1841440260
Title
Pharmacy Director
Phone
(406) 922-0843

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

1695 Tschache LN
Bozeman, MT 59715-7963

Mailing address

10 4TH St W Ste B
Hardin, MT 59034-1804
Phone (651) 325-1615

Other identifiers 1

IdentifierTypeStateIssuer
1598387409MedicaidMT

Other names 1

  • Bozeman CHP Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bighorn Valley HLTH Ctr Inc32 organizations share this tax ID, including this one
Part of
Bighorn Valley HLTH Ctr Inc

Other organizations with this tax ID 31

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

View all 31

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": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1598387409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 4TH ST W STE B",
            "city": "HARDIN",
            "state": "MT",
            "postal_code": "590341804",
            "telephone_number": "651-325-1615",
            "fax_number": "406-922-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 TSCHACHE LN",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597157963",
            "telephone_number": "406-922-0843",
            "fax_number": "406-922-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIGHORN VALLEY HEALTH CENTER INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BIGHORN VALLEY HEALTH CENTER INCORPORATED",
        "enumeration_date": "2020-05-13",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "406-922-0843"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598387409",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bozeman CHP Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bozeman CHP Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.