Bozeman Health Convenience Care, LLC
Organization Active NPI Clinic/Center · Bozeman, MT
NPI 1750890232 · NPPES record last updated Sep 2, 2025
Key facts
- NPI
- 1750890232
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- BOZEMAN HEALTH CONVENIENCE CARE, LLC
- Practice address
- 1805 Oak St Ste 3
Bozeman, MT 59715-8847 - Phone
- (406) 414-4890
- Fax
- (406) 414-4894
- NPI assigned
- Sep 27, 2017
- Organization subpart
- No
Authorized official
- Name
- Bradley Ludford
- Title
- Cfo
- Phone
- (406) 414-1036
Practitioners 40
-
Tammy Jean Chambers, FNP
-
Kelly Michele Euwema, DNP-BC
-
Nikki Hill, FNP
-
Margaret B Marsh, CFNP
-
Justine M. Derousse, PA-C
-
Amanda Jo Farmer, PA-C
-
Shane Lee Graham, PA-C
-
Spencer Thomas Jacquot, PA-C
-
Christene M Johnson, PAC
-
Jonathan David Joslyn, PA-C
-
Scott Murray, PA-C
-
Hannah Sexton, P.A.-C
-
Crystal L Skovly, PAC
-
Jenny Combs, MD
-
Michael A Kaplan, MD
-
Eric Noel, MD
-
Milissa Ann Priebe, NP-C
-
Jennifer K Sofie, DNP, FNP, ANP
-
Richard Stewart, NP
-
Landon Van Dell, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 27D2141719 | Bozeman Health Convenience Care, LLC | Certificate of waiver | Dec 18, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180227002551 | MT | Part B Supplier - Clinic/Group Practice | 6608137096 |
Receives reassigned benefits from 37 practitioners Practice locations: Bozeman, MT |
National Provider Directory
Locations
7715 Shedhorn Dr
Ste 2B
Bozeman, MT 59718
Phone (406) 414-4870
1805 Oak St
Ste 3
Bozeman, MT 59715
Phone (406) 414-4890
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
1805 Oak St Ste 3
Bozeman, MT 59715-8847
Mailing address
Attention: Compliance
915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-5552
Other practice location 1
7715 Shedhorn Dr Ste 2B
Bozeman, MT 59718-7562
Phone (406) 414-4870
Other names
- b2 MicroCare
Other providers in Bozeman, MT
- Bozeman Diagnostics LLC
- Bozeman Dialysis Center
- Bozeman Foot and Ankle Clinic P.C.
- Bozeman Gastroenterology, PC
- Bozeman Health Big Sky Medical Center, LLC
- Bozeman Health Deaconess Hospital
- Bozeman Health Deaconess Hospital
- Bozeman Health Deaconess Hospital
- Bozeman Health Deaconess Hospital
- Bozeman Health Deaconess Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.