BUTTE MONTANA HEALTH CENTER
NPI 1720679137
Clinic/Center - Multi-Specialty in Butte, MT

NPI Status: Active since January 28, 2021

Contact Information

3703 HARRISON AVE STE B
BUTTE, MT
ZIP 59701
Phone: (406) 565-5730
Fax: (406) 565-5734

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • CLIA Number: 27D2095893
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-12-2027

About BUTTE MONTANA HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Butte Montana Health Center, a provider established in Butte, Montana operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1720679137 assigned on January 2021. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Butte Montana Health Center. The authorized official of this NPI record is Jonathan Leizman (President)

NPI
1720679137
Provider Legal Name
PREMISE HEALTH OF MONTANA MEDICAL PC
Other Organization Name
BUTTE MONTANA HEALTH CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3703 HARRISON AVE STE B BUTTE, MT 59701
Location Phone
(406) 565-5730
Location Fax
(406) 565-5734
Mailing Address
5500 MARYLAND WAY STE 120 BRENTWOOD, TN 37027
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-28-2021
Last Update Date
10-14-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JONATHAN LEIZMAN

Authorized Official Title
PRESIDENT
Authorized Official Phone
(216) 479-9063

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
27D2095893
Facility Type
Physician Office
Certificate Effective Date
May 13, 2025
Certificate Expiration Date
May 12, 2027
Laboratory Director
DR. EMILY COLSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Butte Montana Health Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for BUTTE MONTANA HEALTH CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720679137
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27401271816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 1 + 2 + 7 + 1 + 8 + 1 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1720679137 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1528362159 CARLYE BOLSTAD PA-C
Individual
Physician Assistant (Medical)3703 HARRISON AVE STE B
BUTTE, MT 59701
(406) 565-5730

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720679137, enumerated in the NPI registry as an "organization" on January 28, 2021

The provider is located at 3703 Harrison Ave Ste B Butte, Mt 59701 and the phone number is (406) 565-5730

This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty

The provider's CLIA number is 27D2095893 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on January 28, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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