# BOZEMAN HEALTH DEACONESS HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bozeman Health Medically Integrated Dispensing
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245105865
- **Authorized official:** ANGIE LIBERTINI (PAYER ENROLLMENT SUPERVISOR)
- **Authorized official phone:** (410) 980-0649

## Contact information

- **Practice address:** 931 HIGHLAND BLVD STE 3105, BOZEMAN, MT 59715-6912
- **Practice address phone:** (406) 414-5000
- **Mailing address:** 931 HIGHLAND BLVD STE 3105, BOZEMAN, MT 59715-6912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 10/06/2025
- **Last updated:** 10/06/2025