Healthcare Provider Details

I. General information

NPI: 1346614880
Provider Name (Legal Business Name): BIGHORN VALLEY HEALTH CENTER INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2015
Last Update Date: 10/06/2023
Certification Date: 10/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 S 4TH ST
MILES CITY MT
59301
US

IV. Provider business mailing address

10 4TH ST W
HARDIN MT
59034-1802
US

V. Phone/Fax

Practice location:
  • Phone: 406-874-8700
  • Fax: 406-874-3459
Mailing address:
  • Phone: 406-874-8700
  • Fax: 406-874-3459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number State

VIII. Authorized Official

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