One Health - Harlem — Harlem, MT
One Health - Harlem is a community health center clinic at 530 Central Avenue West, Harlem, MT 59526, open 40 hours a week. The typical Montana clinic is open 45 hours a week. It is run by Bighorn Valley Health Center, which serves 24,796 patients across 21 clinic locations.
- Address: 530 Central Avenue West, Harlem, MT 59526 · Directions
- Phone: (406) 357-2294
- Website: www.onechc.org
- Weekly hours: 40 (Montana clinic median: 45)
- Operated by: Bighorn Valley Health Center (federally qualified health center)
- Care offered by this health center: primary care, dental care, mental health care, substance use treatment, children’s checkups, women’s health, and telehealth
Care and screenings at Bighorn Valley Health Center
Patients came to Bighorn Valley Health Center for these services in 2025. The numbers cover the whole health center, not only this clinic.
| Service | Patients | What it counts |
|---|---|---|
| Dental care | 2,199 | patients had dental exams |
| Mental health care | 9,138 | patients treated for depression or anxiety |
| Substance use treatment | 326 | patients in treatment |
| Well-child visits | 967 | children had checkups |
| Flu shots | 1,850 | patients vaccinated |
| Cervical cancer screening | 664 | patients tested |
| Breast cancer screening | 1,707 | patients screened |
| Family planning | 952 | patients served |
| Diabetes care | 2,265 | patients with diabetes |
| Blood pressure care | 5,212 | patients with hypertension |
| Asthma care | 1,205 | patients with asthma |
| HIV testing | 164 | patients tested |
| Hepatitis C testing | 290 | patients tested |
Bighorn Valley Health Center also provides care by telehealth.
Who Bighorn Valley Health Center serves
24,796 patients used Bighorn Valley Health Center in 2025. 37% live at or below the poverty line and 74% are at or below twice the poverty line. 859 patients were experiencing homelessness and 785 were veterans.
| Measure | This center | MT median | U.S. median | vs MT |
|---|---|---|---|---|
| Patients at or below the poverty line | 37% | 38% | 65% | −1 pts |
| Patients at or below 200% of the poverty line | 74% | 68% | 92% | +5 pts |
| Measure | This center | MT median | U.S. median | vs MT |
|---|---|---|---|---|
| Uninsured patients | 18% | 15% | 14% | +4 pts |
| Medicaid or CHIP patients | 24% | 29% | 42% | −4 pts |
| Medicare patients | 19% | 19% | 11% | In line |
| Privately insured patients | 38% | 34% | 24% | +4 pts |
Quality of care at Bighorn Valley Health Center
Bighorn Valley Health Center is at or above the Montana median on 1 of 7 preventive-care measures. Higher is better on every line.
| Measure | This center | MT median | U.S. median | vs MT |
|---|---|---|---|---|
| Adults with high blood pressure under control | 60% | 65% | 68% | −6 pts |
| Women 52–74 screened for breast cancer | 50% | 52% | 54% | −2 pts |
| Women 24–64 screened for cervical cancer | 43% | 43% | 54% | In line |
| Adults 46–75 screened for colorectal cancer | 42% | 47% | 44% | −5 pts |
| Patients 12+ screened for depression | 72% | 76% | 77% | −4 pts |
| Adults assessed for tobacco use | 74% | 80% | 86% | −7 pts |
| High-risk adults on statin therapy | 62% | 75% | 79% | −14 pts |
Staffing at Bighorn Valley Health Center
The health center employs 403 full-time-equivalent staff, including 41 physicians, nurse practitioners, physician assistants and midwives, 12 dental staff and 54 mental health staff. That is 600 patients per clinical provider against the Montana median of 902 and the U.S. median of 930. Patients made 98,804 visits, about 4.0 per patient.
Patients from ZIP 59526
466 Bighorn Valley Health Center patients live in ZIP 59526, and 9% of them are uninsured. Other health centers also serve this ZIP:
- Bullhook Community Health Center, Inc. — 169 patients from 59526