INTERCITY RADIOLOGY PC NPI 1356390736

NPI Information

  • NPI: 1356390736
  • Provider Name: INTERCITY RADIOLOGY, PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Other Name: NONE
  • Address: 1648 ELLIS ST STE 201
    BOZEMAN, MT
    ZIP 59715
  • Phone: (406) 587-8631

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NPI Details

INTERCITY RADIOLOGY, PC is a specialist in Bozeman, MT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. INTERCITY RADIOLOGY, PC NPI is 1356390736. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is None.

The provider's business location address is:

1648 ELLIS ST STE 201
BOZEMAN, MT
ZIP 59715-811
Phone: (406) 587-8631
Fax: (406) 587-1343

The provider's authorized official is Jessicalee Fandrich .
The authorized official title is Credentialing Manger and has the following contact phone number (406) 587-8631.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 9/4/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

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: 11/21/2025

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