=====================================================
General NPI Number Information
=====================================================
NPI Number | 1215884960
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BIGHORN VALLEY HEALTH CENTER, INCORPORATED
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/12/2026
-----------------------------------------------------
Last Update Date | 03/12/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 31 E MAIN ST
-----------------------------------------------------
City | BELGRADE
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59714-3714
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-922-0843
-----------------------------------------------------
Fax | 406-922-0855
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 402 N CENTER AVE
-----------------------------------------------------
City | HARDIN
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59034-1808
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-922-0843
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHARMACY DIRECTOR
-----------------------------------------------------
Name | SHAWN GLENN PATRICK
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 406-922-0843
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------