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Organization

BOZEMAN HEALTH DEACONESS HOSPITAL

Active
Other names
Bozeman Health Cottonwood Primary Care 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
875 S COTTONWOOD RD STE 300, BOZEMAN, MT 59718-4208
(406) 414-4100
Mailing address
915 HIGHLAND BLVD, BOZEMAN, MT 59715-6902
(406) 414-5552

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
208000000X
Pediatrics Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
02/22/2021
Last updated
11/19/2024
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