| Southwest Montana Community Health Center | |
|
445 Centennial Ave Butte MT 59701-2870 | |
| (406) 723-4075 | |
| (406) 723-3059 |
| Full Name | Southwest Montana Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 445 Centennial Ave, Butte, Montana |
| Authorized Official Name and Position | Shawna Yates (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4064966018 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Montana Community Health Center 445 Centennial Ave. Butte MT 59701-2870 Ph: (406) 723-4075 | Southwest Montana Community Health Center 445 Centennial Ave Butte MT 59701-2870 Ph: (406) 723-4075 |
| NPI Number | 1285725143 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 06/10/2022 |
| Medicare PECOS PAC ID | 3870402845 |
|---|---|
| Medicare Enrollment ID | O20040722000919 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285725143 | NPI | - | NPPES |
| 0730028 | Medicaid | MT | |
| 95601009 | Other | MT | MT BREAST & CERVICAL PROG |
| 000063392 | Other | MT | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Montana) | Primary |
| Provider Name | Harold W Bruce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750488789 PECOS PAC ID: 4789604257 Enrollment ID: I20061116000212 |
| Provider Name | Shawna M Yates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689702938 PECOS PAC ID: 6901995695 Enrollment ID: I20071203000750 |
| Provider Name | Kathleen A Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275631863 PECOS PAC ID: 2668552050 Enrollment ID: I20080110000646 |
| Provider Name | Sarah W Gallagher |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437345584 PECOS PAC ID: 9537233804 Enrollment ID: I20080805000107 |
| Provider Name | Donna Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831387166 PECOS PAC ID: 7012076714 Enrollment ID: I20081111000086 |
| Provider Name | Serena Zephyr Brewer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487853404 PECOS PAC ID: 4880763804 Enrollment ID: I20081209000756 |
| Provider Name | Catherine M White |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003804998 PECOS PAC ID: 5991984361 Enrollment ID: I20110831000124 |
| Provider Name | Megan A Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366602559 PECOS PAC ID: 9234309238 Enrollment ID: I20110831000140 |
| Provider Name | Nicole L Cottom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376944512 PECOS PAC ID: 7012139520 Enrollment ID: I20141118002417 |
| Provider Name | Rebecca M Lopez |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376945444 PECOS PAC ID: 7719200740 Enrollment ID: I20141226000454 |
| Provider Name | Wendy Terese Grace |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265743348 PECOS PAC ID: 3779720693 Enrollment ID: I20150205000716 |
| Provider Name | Judith Rae Digiovine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801263488 PECOS PAC ID: 9234448549 Enrollment ID: I20151027000806 |
| Provider Name | Kara Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558750794 PECOS PAC ID: 7315239274 Enrollment ID: I20160713001581 |
| Provider Name | Sue A Casey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821540386 PECOS PAC ID: 5294014759 Enrollment ID: I20161128001674 |
| Provider Name | Jamie L Vanderlinden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629502489 PECOS PAC ID: 1658644927 Enrollment ID: I20170907003194 |
| Provider Name | Dayna K Thergesen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831296706 PECOS PAC ID: 8921319450 Enrollment ID: I20180726002833 |
| Provider Name | Jacob Paul Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437782810 PECOS PAC ID: 4486082005 Enrollment ID: I20200313001797 |
| Provider Name | Rebecca Romine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033737820 PECOS PAC ID: 0941617740 Enrollment ID: I20210323001405 |
| Provider Name | Melanie Nelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124559752 PECOS PAC ID: 9638423288 Enrollment ID: I20211007002820 |
| Provider Name | Carey Josephine Downey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972009728 PECOS PAC ID: 9032544861 Enrollment ID: I20211021002687 |
| Provider Name | Wendy P. Grim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255037263 PECOS PAC ID: 2961875851 Enrollment ID: I20230223001038 |
| Provider Name | Kerry Bohlken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679275697 PECOS PAC ID: 3870968415 Enrollment ID: I20230412001505 |
| Provider Name | Camille Dye Erickson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528648342 PECOS PAC ID: 2062858665 Enrollment ID: I20240305004668 |
Crown 7 Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2425 Cornell Ave, Butte, MT 59701 Phone: 406-494-7919 | |
Silvercreek Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 245 E Park St, Butte, MT 59701 Phone: 406-494-7058 | |
Elevation Dental Butte Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 W Platinum St Ste 1, Butte, MT 59701 Phone: 406-723-6070 | |
Mihailovich Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2423 Cornell Ave, Butte, MT 59701 Phone: 406-494-7033 Fax: 406-494-8256 | |
Daniel J Mcgeehan Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 Sampson St, Butte, MT 59701 Phone: 406-494-7521 Fax: 406-494-1422 | |
Butte Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 Sampson St, Butte, MT 59701 Phone: 406-494-7080 Fax: 406-494-4634 |