Healthcare Provider Details

I. General information

NPI: 1881330009
Provider Name (Legal Business Name): BIGHORN VALLEY HEALTH CENTER, INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2022
Last Update Date: 05/09/2024
Certification Date: 05/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 W MAIN ST STE 213
LEWISTOWN MT
59457-5703
US

IV. Provider business mailing address

207 W MAIN ST STE 5
LEWISTOWN MT
59457-2718
US

V. Phone/Fax

Practice location:
  • Phone: 406-535-3983
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID ANDREW MARK
Title or Position: CEO
Credential: MD
Phone: 406-665-4103