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CH08327H Butte Silver Bow Primary Health Care Clinic, Inc (Terminated)
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Main Details
Name
Butte Silver Bow Primary Health Care Clinic, Inc
Subdivision Name
SHERIDAN COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003482
340B ID
CH08327H
Grant Number
H80CS00799
Additional Details
Current Program Status
Terminated
Registration Date
9/3/2008
Participating Start Date
9/4/2008
Participating Approval Date
9/4/2008
Last Recertification Date
2/22/2021
Termination Date
Termination Reason
4/1/2022
Business decision by the Covered Entity
Contacts
Authorizing Official
Butte Silver Bow Primary Health Care, Inc
Michele K Davis, CFO
(406) 496-6025
Primary Contact
Butte Silver Bow Primary Health Care
Tammy Cox, Executive Director
(406) 496-6018
Addresses
Street Address
317 Madison St.
Sheridan, MT 59749
Billing Address
Butte Silver Bow Primary Health Care Clinic, Inc
445 Centennial Ave
Butte, MT 59701
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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