Organization Active NPI

Same Day Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Bozeman, MT
National Provider Identifier
1487684213
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
9618 Issued in MT
Legal business name
SAME DAY SURGERY CENTER
Practice address
300 North Willson
Ste 600F
Bozeman, MT 59715
Phone
(406) 586-1956
Fax
(406) 587-7656
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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

Authorized official

Name
Sandra L Converse, RN CMSRN
Title
Clinical Director
Phone
(406) 586-1956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 9618 MT Primary

Addresses

Primary practice location

300 North Willson
Ste 600F
Bozeman, MT 59715

Mailing address

300 North Willson
Ste 600F
Bozeman, MT 59715
Phone (406) 586-1956

Other identifiers 1

IdentifierTypeStateIssuer
0406861MedicaidMT

National Provider Directory

National Provider Directory

Locations

300 N Willson Ave
Ste 600F
Bozeman, MT 59715
Phone (406) 586-1956

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1487684213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NORTH WILLSON",
            "address_2": "STE 600F",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "59715",
            "telephone_number": "406-586-1956",
            "fax_number": "406-587-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NORTH WILLSON",
            "address_2": "STE 600F",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "59715",
            "telephone_number": "406-586-1956",
            "fax_number": "406-587-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAME DAY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "CONVERSE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "406-586-1956",
        "authorized_official_credential": "RN CMSRN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MT",
            "license": "9618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0406861",
            "state": "MT"
        }
    ],
    "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 Jan 5, 2010; 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.