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Renovation begins on the Rocky Mountain Building in Great Falls

Rocky Mountain Building
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GREAT FALLS — In June 2021, Alluvion Health bought the Rocky Mountain Building in downtown Great Falls; renovation of the building is now underway. Alluvion plans to incorporate all of its services under one roof.

Alluvion shared the following information in a news release:

Alluvion Health officially broke ground on a new clinic Tuesday, May 24th at the site of the former Rocky Mountain Building. The groundbreaking signifies the start of a two-year, $29 million project that will culminate in Alluvion Health at 601 Central, a full-service clinic offering medical, dental, behavioral health, and substance use disorder services in Downtown Great Falls.

"This project has been many years in the making," said Trista Besich, CEO of Alluvion Health. "This groundbreaking is the culmination of many years of hard work. We are excited, not only to renovate a historic piece of Great Falls history but to provide a state-of-the-art, full-service clinic built with our patient's needs at the center of everything we do."

The groundbreaking marks the official start of construction, a process that is expected to cost 29 million dollars and take 18-24 months to complete. Once opened, Alluvion Health at 601 Central will create capacity for 50-100 new high-wage jobs in the healthcare sector and related fields. "This is a grand slam win," said Brett Doney, President and CEO of Great Falls Development Authority. "It will increase access to essential health services, bring employees and patients downtown to boost business activity, help us attract more businesses and real estate investment downtown, and save a prominent historic property."

Alluvion Health is a locally owned and operated not-for-profit Federally Qualified Health Center focusing on providing high-quality, cost-effective, comprehensive primary and preventive medical, dental, and behavioral health care. Alluvion is governed by a Board of Directors comprised of at least 51% patients and is funded through the U.S. Department of Health and Human Services Bureau of Primary Health Care.

Built in 1914, the Rocky Mountain Building was previously the home of Rocky Mountain Fire Insurance Company, the Pantages Theater, and Public Drug. In May 2009, a fire compromised the integrity of several floors of the building, and it has been vacant since then.


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Rocky Mountain Building in downtown Great Falls