Active NPI
Butte Native Wellness Center
- Federally Qualified Health Center (FQHC)
- Butte, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- BUTTE NATIVE WELLNESS CENTER
- Practice address
- 55 E Galena St
Butte, MT 59701-1703 - Phone
- (406) 782-0461
- Fax
- (406) 782-7435
- NPI assigned
- Apr 23, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tina Randall
- Title
- Executive Director
- Phone
- (406) 782-0461
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary | ||
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X |
Addresses
Primary practice location
55 E Galena St
Butte, MT 59701-1703
Mailing address
55 E Galena St
Butte, MT 59701-1703
Phone (406) 782-0461
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | trandall@buttenwc.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230113000354 | MT | Part A Provider - Indian Health Services Facility | 7810388220 | Practice locations: Butte, MT |
Federally qualified health center certification: CCN 271000
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- BUTTE NATIVE WELLNESS CENTER
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jan 12, 2023
- Last certification
- Jan 12, 2023
- Ownership / control type
- For profit – corporation
- Facility address
- 55 E Galena St
Butte, MT 59701
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 27D2236068 | Butte Native Wellness Center | Certificate of waiver | Sep 13, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Butte, MT
- NPI 1306527023
-
- Adult Health Nurse Practitioner
- Butte, MT
- NPI 1427530369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679529600000",
"number": "1831771351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 E GALENA ST",
"city": "BUTTE",
"state": "MT",
"postal_code": "597011703",
"telephone_number": "406-782-0461",
"fax_number": "406-782-7435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 E GALENA ST",
"city": "BUTTE",
"state": "MT",
"postal_code": "597011703",
"telephone_number": "406-782-0461",
"fax_number": "406-782-7435"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUTTE NATIVE WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-23",
"last_updated": "2023-03-23",
"certification_date": "2023-03-23",
"status": "A",
"authorized_official_last_name": "RANDALL",
"authorized_official_first_name": "TINA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "406-782-0461"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
},
{
"code": "332800000X",
"taxonomy_group": "",
"desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "trandall@buttenwc.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "55 E Galena St",
"city": "Butte",
"state": "MT",
"country_code": "US",
"postal_code": "597011703",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Butte, MT
- Butte Care Holdings, LLC
- Butte Family Dental
- Butte Family Planning
- Butte Independent Walk-in Clinic
- Butte IV Pharmacy, Inc. D.B.a. Home IV Pharmacy
- Butte Nursing and Rehab Center LLC (Southwest Montana Veterans Home)
- Butte Orthopedic and Fracture Clinic PC
- Butte Oxygen Inc.
- Butte Pain and Anesthesia Associates, PLLC
- Butte Park Royal Operations, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.