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General NPI Number Information
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NPI Number | 1447494000
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Entity Type | Organization
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Legal Business Name | BIGHORN VALLEY HEALTH CENTER, INCORPORATED
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Dates
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Enumeration Date | 04/27/2009
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 19 E MAIN ST
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City | BELGRADE
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State | MT
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Zip | 59714-3715
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Country | US
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Telephone | 406-222-1111
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Fax | 406-823-6305
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Provider Business Mailing Address
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Address Line | 112 W LEWIS ST
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City | LIVINGSTON
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State | MT
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Zip | 59047-3011
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Country | US
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Telephone | 406-823-6304
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Fax | 406-823-6305
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Authorized Official
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Title or Position | CEO
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Name | DAVID ANDREW MARK
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Credential |
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Telephone | 406-665-4103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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