Organization Active NPI

Bozeman Birth Center

  • Birthing Clinic/Center
  • Bozeman, MT
National Provider Identifier
1366838575
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
Legal business name
BOZEMAN BIRTH CENTER
Practice address
601 W Villard St
Bozeman, MT 59715-3443
Phone
(406) 585-0752
Fax
(406) 585-2209
NPI assigned
Apr 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Authorized official

Name
Lisa M Blank
Title
Proprietor / Practice Manager
Phone
(406) 585-0752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X Primary

Addresses

Primary practice location

601 W Villard St
Bozeman, MT 59715-3443

Mailing address

601 W Villard St
Bozeman, MT 59715-3443
Phone (406) 585-0752

National Provider Directory

National Provider Directory

Locations

601 W Villard St
Bozeman, MT 59715
Phone (406) 585-0752

NPI Registry JSON

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1366838575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W VILLARD ST",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153443",
            "telephone_number": "406-585-0752",
            "fax_number": "406-585-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W VILLARD ST",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153443",
            "telephone_number": "406-585-0752",
            "fax_number": "406-585-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOZEMAN BIRTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "BLANK",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROPRIETOR / PRACTICE MANAGER",
        "authorized_official_telephone_number": "406-585-0752"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 14, 2015; 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.