Organization · Type 2 NPI

Butte Silver Bow Primary Health Care Clinic Inc

Federally Qualified Health Center (FQHC) · Anaconda, MT

NPI number 1225502073 Active

Practice location

110 Oak St
Anaconda, MT 59711-2335

Call (406) 563-0771 Map

Fax (406) 563-0774

Mailing address

445 Centennial Ave
Butte, MT 59701-2870

Specialties and licenses

Taxonomy	Code	License
Community Health Clinic/Center	261QC1500X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Another provider at this address

Kathleen A. Russell, NPNurse Practitioner Anaconda, MT NPI 1275631863

NPI record

NPI: 1225502073
Entity type: Organization (Type 2)
Issued: Jan 15, 2019
Last updated: Feb 12, 2026
Status: Active
Subpart: Yes of Butte Silver Bow Primary Health Care Clinic Inc

Other names

<unavail>
Anaconda CHC · doing business as
Anaconda CHC · doing business as
Blacktail Health · doing business as

Authorized official

Kayla M Medina
Credentialing Coordinator
(460) 496-6045

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1225502073

Butte Silver Bow Primary Health Care Clinic Inc's National Provider Identifier is 1225502073, issued on Jan 15, 2019. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Anaconda, MT. The record was last updated on Feb 12, 2026.