Bighorn Valley Health Center, Incorporated
Organization Active NPI Federally Qualified Health Center (FQHC) · Ashland, MT
NPI 1932575149 · NPPES record last updated Jun 24, 2022
Key facts
- NPI
- 1932575149
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- BIGHORN VALLEY HEALTH CENTER, INCORPORATED
- Practice address
- 501 Main Street
Ashland, MT 59003 - Phone
- (406) 784-2346
- Fax
- (406) 784-2711
- NPI assigned
- Aug 12, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. David Mark, MD
- Title
- Ceo
- Phone
- (406) 665-4103
Owners & managing parties with NPI records 2
-
David Andrew Mark, M.D.
-
Curtis B Whicker, MS
Other NPIs on the same Medicare enrollment 16
Other NPIs with the same Medicare PAC ID 23
Practitioners 100
-
Kenneth Dean, LCPC
-
Jacob Paul Forke, M.D.
-
Suzannah Marie Kassay, LCPC
-
Eloise Faye Sedor, LCPC
-
Shandy Aberg, LCPC
-
Coralia Channing Argyrakis, MSN, APRN, FNP-C
-
Casey R Ballard, LCSW
-
Samantha Rae Bryan, FNP-C
-
Meghan Christine Craig, LADC
-
Marie Elwood, MD
-
Taylor Frye, PA
-
Bella Marie Gentry, M.D.
-
William Roper Green, LCPC
-
Clancy Joyce Hartman, FNP-C
-
Lexie Haslem, LCPC
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 27D2045567 | Bighorn Valley Health Center, Inc | Certificate of waiver | Aug 14, 2026 |
| 27D2266436 | Bighorn Valley Health Center, Inc | Certificate of waiver | Aug 9, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MT
Federally qualified health center certification: CCN 271816
- Legal name
- BIGHORN VALLEY HEALTH CENTER INCORPORATED
- Doing business as
- ONE HEALTH-ASHLAND
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jul 1, 2003
- Last certification
- Jul 1, 2003
- Ownership / control type
- For profit – partnership
- Most recent change of ownership
- Aug 1, 2015 (1 total)
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 501 Main St
Ashland, MT 59003
All disclosed owners & managing parties 14
| Name | Role | Since | Share |
|---|---|---|---|
| Martin V Thone |
Corporate Director |
Feb 1, 2018 | |
| Sara Pretty Weasel |
Corporate Director |
Jan 8, 2015 | |
| Beth Hronek |
Corporate Director |
Jun 1, 2022 | |
| Barbara Skoyen |
Corporate Director |
Nov 1, 2018 | |
| Curtis B Whicker |
Corporate Director |
Jun 1, 2022 | |
| Julie Mann |
Corporate Officer |
Jun 1, 2021 | |
| Timothy Hardy |
Corporate Director |
Mar 11, 2013 | |
| David a Mark |
Corporate Officer |
Feb 2, 2016 | |
| W-2 Managing Employee |
Feb 2, 2016 | ||
| Eric Tiner |
Corporate Director |
Jun 8, 2017 | |
| Carrie McCleary |
Corporate Director |
Feb 12, 2015 | |
| Andrea Martin |
Corporate Officer |
Sep 21, 2021 | |
| William Briggs |
Corporate Director |
Sep 24, 2015 | |
| Eli Hofer |
Corporate Director |
Nov 1, 2018 | |
| Juanita M Sapp |
Corporate Director |
Jun 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120913000593 | MT | Part B Supplier - Clinic/Group Practice | 8820246077 |
Receives reassigned benefits from 85 practitioners 16 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hardin, MT; Miles City, MT; Harlem, MT; Lewistown, MT; Livingston, MT; West Yellowstone, MT; Ashland, MT; Glendive, MT… |
| O20160405001707 | MT | Part a Provider - Federally Qualified Health Center (FQHC) | 8820246077 | Practice locations: Ashland, MT |
National Provider Directory
Locations
112 St. Labre Campus Dr
Ashland, MT 59003
Phone (406) 784-2346
19 E Main St
Belgrade, MT 59714
Phone (406) 222-1111
10 4th St W
Ste B
Hardin, MT 59034
Phone (406) 237-5845
1223 N Center Ave
Hardin, MT 59034
Phone (406) 665-4103
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
501 Main Street
Ashland, MT 59003
Mailing address
10 4TH St W
Hardin, MT 59034-1802
Phone (406) 665-4103
Other names
- One Health-Ashland
Other providers in Ashland, MT
- Ashland Community Health Center
- Ashland Public School District
- Bighorn Valley Health Center Incorporated
- Mindy M Jorgensen
- Karla McDonald
- Rylee J Studiner
All providers in Ashland, MT · Federally Qualified Health Center (FQHC) in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.