City-County Health Department

The Cascade City-County Health Department plays an important role in helping county residents achieve and maintain health, safety, and self-sufficiency. The principles that guide us daily are:

OUR MISSION: The mission of the Cascade City-County Health Department and Community Health Care Center is to prevent disease and illness, promote healthy choices and deliver quality health care.

OUR VISION: Healthy people in a healthy community.

OUR VALUES: Demonstration of the highest standards of professionalism, integrity, honesty, dignity, loyalty, respect for others, moral strength, and quality in all public health services to inspire and maintain public confidence and trust in the City-County Health Department.

COMMUNITY HEALTH CARE CENTER: The CHCC is a not-for-profit, Federally Qualified Health Center focusing on providing high quality, cost-effective, comprehensive primary and preventive medical, dental and behavioral health care. The CHCC is funded through the U.S. Department of Health and Human Services Bureau of Primary Health Care.

Department Information

Health Officer
Tanya Houston 791-9260
Environmental Health Division Manager
Sandy Johnson, RS 791-9275
Family Health Services Division Manager
Jo-Viviane Jones 791-9262
Prevention Services Division Manager
Trixie Smith, RN, BSN 791-9269
Privacy Officer, Accreditation Coordinator
Trisha Gardner, MEd 791-9261
Leslie Killham 791-9263
Trista Besich 791-9887
Clinic Manager
Annette Griffin, RN, BSN 791-9264

115 4th Street South
Great Falls, MT 59405


Phone: 1 (406) 454-6950
Fax: 1 (406) 454-6959



Family Services is working to enhance the health and safety of the families in our community. We work toward this goal with educational efforts, screenings and the services we provide. Our programs include:

WIC-Special Supplemental Nutrition Program for Women, Infants and Children Maternal and Child Health Programs such as Parents as Teachers, Home Visitation, Suicide Prevention, Oral Health Education, and Follow the Child Safe Kids Cascade County/Buckle Up Montana Fetal Alcohol Syndrome Program


Prevention Services works to prevent disease and injury in our community, promote healthier choices and behaviors, prepare and respond to public health emergencies, investigate disease outbreaks and provide quality health information. We work toward these goals through the activities of our programs:

  • Immunizations
  • Communicable Disease and STDs
  • Emergency Preparedness
  • Cancer Control (including Tobacco and Breast and Cervical Health)
  • HIV Prevention and Case Management
  • Health Promotion and Wellness

Immunization Clinic Hours

Tuesday 8:30 - 11:30am
Wednesday 8:30 - 11:30am and 1:00 - 4:30pm
Thursday 8:30 - 11:30am and 1:00 - 4:30pm
Friday 8:30 - 11:30am and 1:00 - 4:30pm

No shots on Monday or Tuesday afternoons.



Environmental Health Services focuses on providing a healthy environment for the residents of our community. We promote a healthy environment through education, monitoring and enforcement of state laws and regulations in several programs. These include:

  • Air Quality
  • Daycare Centers and Group Homes
  • Drinking Water
  • Food Establishments and Safety (Licensing Options, Food Safety, Etc.)
  • Public Accommodations (Hotels, Motels, B&Bs, Tourist Homes)
  • Rabies Prevention
  • Septic Systems
  • Subdivisions
  • Swimming Pools/Spas
  • Tattoo/Piercing Establishments
  • Trailer Courts
  • Other Recent Events and Special Projects