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BOZEMAN HEALTH CONVENIENCE CARE LLC NPI 1750890232


NPI Information

NPI: 1750890232
Provider Name: BOZEMAN HEALTH CONVENIENCE CARE, LLC

Other Name: B2 MICROCARE

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 27D2141719

Address:
1805 OAK ST STE 3
BOZEMAN, MT
ZIP 59715
Phone: (406) 414-4890
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BOZEMAN HEALTH CONVENIENCE CARE, 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). BOZEMAN HEALTH CONVENIENCE CARE, LLC NPI is 1750890232. The provider is registered as an organization entity type.
The provider Other Name Is B2 Microcare.

The provider's business location address is:

1805 OAK ST STE 3
BOZEMAN, MT
ZIP 59715-735
Phone: (406) 414-4890
Fax: (406) 414-4894

The provider's authorized official is Deann Douglas .
The authorized official title is Pfs Credentialing Coordinator and has the following contact phone number (406) 414-1826.

The CLIA number assigned to this NPI record is 27D2141719 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/27/2017 and was last updated on 4/10/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

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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