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NPI Code Detail

MEDICARE: SWEETWATER BUTTE OPCO LLC

MEDICARE: SWEETWATER BUTTE OPCO LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist
2225X00000XOccupational Therapist
3261Q00000XClinic/Center
4225100000XPhysical Therapist
5314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1982262960
Entity Type Code : Organization
Provider Name (Legal Business Name) : SWEETWATER BUTTE OPCO LLC
Provider Business Mailing Address
First Line : 662 ENCINITAS BLVD STE 230
Second Line :
City : ENCINITAS
State : CA
Zip : 92024-6792
Country : US
Telephone Number : 760-652-6354
Fax Number :
Provider Business Practice Location Address
First Line : 2400 CONTINENTAL DR
Second Line :
City : BUTTE
State : MT
Zip : 59701-6563
Country : US
Telephone Number : 406-723-6556
Fax Number :
Authorized Official
Title or Position : OWNER
Name : AARON CHESLEY
Credential :
Telephone Number : 858-353-3849
Provider Enumeration Date : 06/04/2019
Last Update Date : 01/14/2026

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Directions to “SWEETWATER BUTTE OPCO LLC ” Practice Location

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