Organization Active NPI

Bozeman Senior Center

  • Home Delivered Meals
  • Bozeman, MT
National Provider Identifier
1881728681
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
BOZEMAN SENIOR CENTER
Practice address
807 N Tracy Ave
Bozeman, MT 59715-2813
Phone
(406) 586-2421
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sue Keep
Title
Bookkeeper
Phone
(406) 586-2421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X Primary

Addresses

Primary practice location

807 N Tracy Ave
Bozeman, MT 59715-2813

Mailing address

807 N Tracy Ave
Bozeman, MT 59715-2813

Other identifiers 1

IdentifierTypeStateIssuer
0640849MedicaidMT

National Provider Directory

National Provider Directory

Locations

807 N Tracy Ave
Bozeman, MT 59715
Phone (406) 586-2421

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881728681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 N TRACY AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597152813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 N TRACY AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597152813",
            "telephone_number": "406-586-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOZEMAN SENIOR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEEP",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "406-586-2421"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0640849",
            "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 Aug 22, 2020; 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.