Organization Active NPI

Big Sky Managed Care

Doing business as Big Sky Managed Care Montana

  • Long Term Care Pharmacy
  • Great Falls, MT
National Provider Identifier
1902390404
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
BIG SKY MANAGED CARE
Doing business as
Big Sky Managed Care Montana
Practice address
900 13TH Ave S
Great Falls, MT 59405-4426
Phone
(406) 788-5183
NPI assigned
Jun 18, 2018
Last updated
Aug 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Authorized official

Name
Matthew Mills
Title
Owner
Phone
(406) 788-5183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

900 13TH Ave S
Great Falls, MT 59405-4426

Mailing address

PO Box 1049
Great Falls, MT 59403-1049
Phone (406) 788-5183

Other names 1

  • Big Sky Managed Care Montana Doing business as

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
27D2199048Big Sky Managed Care900 13TH Ave S, Great Falls, MT 59405Certificate of waiverNov 4, 2026

National Provider Directory

National Provider Directory
Tax ID family
Big Sky Managed Care5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1902390404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1049",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594031049",
            "telephone_number": "406-788-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 13TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054426",
            "telephone_number": "406-788-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG SKY MANAGED CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-18",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-788-5183"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big Sky Managed Care Montana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.