Organization
BOZEMAN HEALTH DEACONESS HOSPITAL
Active
Other names
Bozeman Health Pediatrics 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
937 HIGHLAND BLVD STE 5320, BOZEMAN, MT 59715-6916
(406) 414-4900
Mailing address
915 HIGHLAND BLVD, BOZEMAN, MT 59715-6902
(406) 414-5552
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
05/01/2019
Last updated
11/19/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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