NPIMap

Organization Active NPI

Bighorn Valley Health Center, Incorporated

Doing business as One Health-Wyola School

  • Federally Qualified Health Center (FQHC)
  • Wyola, MT
National Provider Identifier
1821751462
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
BIGHORN VALLEY HEALTH CENTER, INCORPORATED
Doing business as
One Health-Wyola School
Practice address
1 Mondell St.
Wyola, MT 59089
Phone
(406) 665-4103
NPI assigned
Oct 20, 2021
Last updated
Oct 20, 2021By 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 Oct 20, 2021

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

Authorized official

Name
Dr. David Andrew Mark, MD
Title
Ceo
Phone
(406) 665-4103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

1 Mondell St.
Wyola, MT 59089

Mailing address

10 4TH St W
Hardin, MT 59034-1802
Phone (405) 665-4103

Other names 1

  • One Health-Wyola School 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

NPI Registry JSON

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1821751462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 4TH ST W",
            "city": "HARDIN",
            "state": "MT",
            "postal_code": "590341802",
            "telephone_number": "405-665-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MONDELL ST.",
            "city": "WYOLA",
            "state": "MT",
            "postal_code": "59089",
            "telephone_number": "406-665-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIGHORN VALLEY HEALTH CENTER, INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BIGHORN VALLEY HEALTH CENTER, INCORPORATED",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "MARK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-665-4103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Health-Wyola School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.