Provider Demographics
NPI:1770005811
Name:BIG SKY MANAGED CARE
Entity Type:Organization
Organization Name:BIG SKY MANAGED CARE
Other - Org Name:BIG SKY MANAGED CARE HELENA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:MATT
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-315-1989
Mailing Address - Street 1:PO BOX 1049
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59403-1049
Mailing Address - Country:US
Mailing Address - Phone:406-315-1989
Mailing Address - Fax:406-315-1988
Practice Address - Street 1:900 JACKSON ST STE A
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601
Practice Address - Country:US
Practice Address - Phone:406-502-1800
Practice Address - Fax:406-502-1804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-11
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy