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IDEAL TELEMEDICINE SERVICES LLC NPI 1104339597


NPI Information

NPI: 1104339597
Provider Name: IDEAL TELEMEDICINE SERVICES, LLC

Doing Business As: IDEAL OPTION, PLLC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1532 ELLIS ST STE 104
BOZEMAN, MT
ZIP 59715
Phone: (509) 222-1275
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IDEAL TELEMEDICINE SERVICES, LLC is a clinic center in Bozeman, MT. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). IDEAL TELEMEDICINE SERVICES, LLC NPI is 1104339597. The provider is registered as an organization entity type.
The provider Is Doing Business As Ideal Option, Pllc.

The provider's business location address is:

1532 ELLIS ST STE 104
BOZEMAN, MT
ZIP 59715-809
Phone: (509) 222-1275
Fax: (509) 491-3031

The provider's authorized official is Jeffrey Todd Allgaier .
The authorized official title is Ceo and has the following contact phone number (509) 222-1275.

The enumeration date for this NPI number is 11/8/2017 and was last updated on 11/8/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11457788275MEDICAIDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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