Organization
GALLATIN COUNTY
Active
Other names
Gallatin City-County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW D KELLEY AO (HEALTH OFFICER)
(406) 582-3100
Entity
Organization
Contact information
Practice address
215 W MENDENHALL ST STE 117, BOZEMAN, MT 59715-3401
(406) 582-3100
(406) 582-3112
Mailing address
311 W MAIN ST, BOZEMAN, MT 59715-4594
(406) 582-3100
(406) 582-3112
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
MT
251K00000X
Public Health or Welfare Agency
Primary
—
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290056
—
MT
05
—
290576
—
MT
05
—
290628
—
MT
01
—
31528
BCBS PROVIDER #
MT
05
—
3500939
—
MT
Enumeration date
12/28/2006
Last updated
11/21/2017
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