# PARK CLINIC OB-GYN

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LIVINGSTON HEALTHCARE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215108576
- **Legal business name:** LIVINGSTON HEALTHCARE
- **Authorized official:** DEBRA ANCZAK (CEO)
- **Authorized official phone:** (406) 823-6611

## Contact information

- **Practice address:** 300 N WILLSON AVE, BOZEMAN, MT 59715-3551
- **Practice address phone:** (406) 222-0605
- **Mailing address:** 320 ALPENGLOW LN, LIVINGSTON, MT 59047-8506
- **Mailing address phone:** (406) 222-0800
- **Mailing address fax:** (406) 222-7606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/14/2008
- **Last updated:** 03/14/2018