Organization
BIG SKY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL BRABY MD (PRESIDENT)
(406) 541-3277
Entity
Organization
Contact information
Practice address
2833 FORT MISSOULA RD, MISSOULA, MT 59804-7408
(406) 542-6559
(406) 542-9040
Mailing address
2833 FORT MISSOULA RD, MISSOULA, MT 59804-7408
(406) 542-6559
(406) 542-9040
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
10470
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02-02051-9
MT STATE FUND
MT
05
—
0350166
—
MT
01
—
06036-2
BLUE CROSS BLUE SHIELD
MT
01
—
184874300
OWCP
MT
Enumeration date
01/10/2006
Last updated
11/19/2009
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