NPIMap

Organization Active NPI

Bozeman Health Deaconess Hospital

  • Non-Pharmacy Dispensing Site
  • Bozeman, MT
National Provider Identifier
1245105865
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
BOZEMAN HEALTH DEACONESS HOSPITAL
Practice address
931 Highland Blvd Ste 3105
Bozeman, MT 59715-6912
Phone
(406) 414-5000
NPI assigned
Oct 6, 2025
Last updated
Oct 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
Angie Libertini
Title
Payer Enrollment Supervisor
Phone
(410) 980-0649

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

931 Highland Blvd Ste 3105
Bozeman, MT 59715-6912

Mailing address

931 Highland Blvd Ste 3105
Bozeman, MT 59715-6912

Other names 1

  • Bozeman Health Medically Integrated Dispensing Other name

National Provider Directory

National Provider Directory
Tax ID family
Bozeman Health Deaconess Hospital9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1245105865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 HIGHLAND BLVD STE 3105",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 HIGHLAND BLVD STE 3105",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156912",
            "telephone_number": "406-414-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOZEMAN HEALTH DEACONESS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "LIBERTINI",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "PAYER ENROLLMENT SUPERVISOR",
        "authorized_official_telephone_number": "410-980-0649"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bozeman Health Medically Integrated Dispensing",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.