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Bozeman Health Deaconess Hospital

Organization Active NPI Family Medicine Physician · Bozeman, MT

NPI 1427612845 · NPPES record last updated Nov 19, 2024

Key facts

NPI
1427612845
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
BOZEMAN HEALTH DEACONESS HOSPITAL
Practice address
935 Highland Blvd Ste 2200
Bozeman, MT 59715-6915
Phone
(406) 414-5700
NPI assigned
May 1, 2019
Organization subpart
No

Authorized official

Name
Brad K Ludford
Title
Cfo
Phone
(406) 414-1036

Corporate family (same tax ID) 8

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

National Provider Directory

Tax ID family
Bozeman Health Deaconess (9 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207Q00000X Yes
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP		 363A00000X
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363L00000X

Addresses

Primary practice location

935 Highland Blvd Ste 2200
Bozeman, MT 59715-6915

Mailing address

915 Highland Blvd Ste 2170
Bozeman, MT 59715-6902
Phone (406) 414-5552

Other names

  • Bozeman Health Family Medicine Clinic Medicaid Passport NPI Other name

Other providers in Bozeman, MT

All providers in Bozeman, MT · Family Medicine Physician in Montana

Sources for this page

Verify at the official NPI Registry.