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BIG SKY MANAGED CARE
UI59401 INDIAN FAMILY HEALTH CLINIC
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Covered Entity Details
Entity Name
INDIAN FAMILY HEALTH CLINIC
Subdivision Name
Type
Urban Indian
340B ID
UI59401
Entity Address
1220 CENTRAL AVENUE
SUITE #1B
GREAT FALLS, MT 59401
Grant Number
Participating Start Date
7/1/2019
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
BIG SKY MANAGED CARE
Pharmacy Address
900 13TH AVE S
GREAT FALLS, MT 59405-4426
Pharmacy Comments
Contract Details
Approval Date
2/5/2024
Contract Begin Date
2/5/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rachel Marie Arthur, Executive Director
(406) 268-1510
Contract Pharmacy Representative
Big Sky Managed Care
Matthew Mills, Owner
(406) 315-1989
Signed By Date
2/5/2024
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