Organization Active NPI

Butte Native Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Butte, MT
National Provider Identifier
1831771351
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
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

Updated by the provider on Mar 23, 2023

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address trandall@buttenwc.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D2236068Butte Native Wellness Center55 E Galena St, Butte, MT 59701Certificate of waiverSep 13, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

Sources for this page

Verify at the official NPI Registry.