NPIMap

Organization Active NPI

Student Health Service

Doing business as Montana State University-Bozeman

  • Student Health Clinic/Center
  • Bozeman, MT
National Provider Identifier
1407123193
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
11301 Issued in MT
Legal business name
STUDENT HEALTH SERVICE
Doing business as
Montana State University-Bozeman
Practice address
102 Montana Hall
Msu-Bozeman
Bozeman, MT 59717-3260
Phone
(406) 991-2311
NPI assigned
Nov 23, 2011
Last updated
Nov 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Authorized official

Name
Ms. Robin Kuntzelman
Title
Him
Phone
(406) 994-3199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X 11301 MT Primary

Addresses

Primary practice location

102 Montana Hall
Msu-Bozeman
Bozeman, MT 59717-3260

Mailing address

PO Box 173260
Bozeman, MT 59717-3260
Phone (406) 991-2311

Other names 1

  • Montana State University-Bozeman Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Montana State Universit3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1407123193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173260",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597173260",
            "telephone_number": "406-991-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MONTANA HALL",
            "address_2": "MSU-BOZEMAN",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597173260",
            "telephone_number": "406-991-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUDENT HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "KUNTZELMAN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "HIM",
        "authorized_official_telephone_number": "406-994-3199",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "MT",
            "license": "11301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montana State University-Bozeman",
            "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 Nov 23, 2011; 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.