Provider Demographics
NPI:1750423679
Name:BUTTE-SILVER BOW CONSOLIDATED GOVERNMENTS
Entity type:Organization
Organization Name:BUTTE-SILVER BOW CONSOLIDATED GOVERNMENTS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEALTH OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:S
Authorized Official - Last Name:MALOUGHNEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:406-497-5041
Mailing Address - Street 1:25 W FRONT ST
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-2801
Mailing Address - Country:US
Mailing Address - Phone:406-497-5020
Mailing Address - Fax:406-723-7245
Practice Address - Street 1:25 W FRONT ST
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-2801
Practice Address - Country:US
Practice Address - Phone:406-497-5020
Practice Address - Fax:406-497-5095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X
MT251J00000X
MTRN25862251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No251B00000XAgenciesCase Management
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT3503916OtherMUST
MT3503916Medicaid
MT000003365OtherHUMANA
MT3503916OtherBLUE CROSS BLUE SHEILD
MT000003365OtherTRAVELERS MEDICARE
MT00113OtherCHIPS