Healthcare Provider Details

I. General information

NPI: 1588509483
Provider Name (Legal Business Name): SAMANTA MCEWEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 FOUR MILE VIEW RD
BUTTE MT
59701-0907
US

IV. Provider business mailing address

1720 FOUR MILE VIEW RD
BUTTE MT
59701-0907
US

V. Phone/Fax

Practice location:
  • Phone: 406-299-3768
  • Fax: 406-299-3769
Mailing address:
  • Phone: 406-299-3768
  • Fax: 406-299-3769

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: