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Organization
BOZEMAN HEALTH DEACONESS HOSPITAL
Active
Organization
BOZEMAN HEALTH DEACONESS HOSPITAL
Active
Other names
Bozeman Health Family Medicine Clinic Medicaid Passport NPI
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD K LUDFORD (CFO)
(406) 414-1036
Entity
Organization
Contact information
Practice address
935 HIGHLAND BLVD STE 2200, BOZEMAN, MT 59715-6915
(406) 414-5700
Mailing address
915 HIGHLAND BLVD STE 2170, BOZEMAN, MT 59715-6902
(406) 414-5552
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/01/2019
Last updated
11/19/2024
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