Organization Active NPI

Bozeman Partners LLC -Dba-

Doing business as Spring Creek Inn

  • Community/Behavioral Health Agency
  • Bozeman, MT
National Provider Identifier
1225305261
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BOZEMAN PARTNERS LLC -DBA-
Doing business as
Spring Creek Inn
Practice address
1641 Hunters Way
Bozeman, MT 59718
Phone
(406) 586-0074
NPI assigned
Nov 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Emmett Aaron Koelsch
Title
Manager
Phone
(360) 867-1900

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Alzheimer Center (Dementia Center) 311500000X 12335 MT
Custodial Care Facility 311Z00000X

Addresses

Primary practice location

1641 Hunters Way
Bozeman, MT 59718

Mailing address

111 Market Street NE
Ste 200
Olympia, WA 98501
Phone (360) 867-1900

Other names 1

  • Spring Creek Inn Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D2210064Spring Creek Inn Memory Care Community1641 Hunters Way, Bozeman, MT 59718Certificate of waiverJan 18, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1225305261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MARKET STREET NE",
            "address_2": "STE 200",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98501",
            "telephone_number": "360-867-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 HUNTERS WAY",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "59718",
            "telephone_number": "406-586-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOZEMAN PARTNERS LLC -DBA-",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-18",
        "last_updated": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "KOELSCH",
        "authorized_official_first_name": "EMMETT",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "360-867-1900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "MT",
            "license": "12335",
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Creek Inn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.