Montana Occupational Health

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

License

117 Issued in MT

Legal business name

MONTANA OCCUPATIONAL HEALTH

Practice address

536 S Cottonwood Rd
Bozeman, MT 59718-9515

Phone

(406) 556-1900

Fax

(406) 548-6265

NPI assigned

Mar 15, 2013

Organization subpart

No

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

Authorized official

Name

Larry D. Walker, MS, PA-C

Title

Director

Phone

(406) 556-1900

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1306187398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 S COTTONWOOD RD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597189515",
            "telephone_number": "406-556-1900",
            "fax_number": "406-548-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 S COTTONWOOD RD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597189515",
            "telephone_number": "406-556-1900",
            "fax_number": "406-548-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTANA OCCUPATIONAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "406-556-1900",
        "authorized_official_credential": "MS, PA-C"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "MT",
            "license": "117",
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "MT",
            "license": "264",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366504102",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "437920",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Montana Psychiatry, PLLC
• Montana Skin Cancer and Dermatology Center, P.C.
• Montana Speech Therapy, LLC
• Montana Spinal Solutions PLLC

• Occupational Medicine Clinic/Center in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Occupational Medicine Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.