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Contact Information

SURGICAL ASSOCIATES OF BOZEMAN, PC
925 HIGHLAND BOULEVARD
SUITE 1200
BOZEMAN, MT59715-6900
 Phone: 406-587-0704
 Fax: 406-587-1147
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for SURGICAL ASSOCIATES OF BOZEMAN, PC

NPI Number 1841320629
LBN Legal business name SURGICAL ASSOCIATES OF BOZEMAN, PC
Authorized official KELLY BANKS - (VICE-PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/07/2007
Last updated 08/22/2011 - About 15 years ago
Identifiers
MT License # 10338
MT License # 15264
MT License # 4000
MT License # 6438
MT License # 9898
MT Medicaid 000037700
MT Medicaid 000048568
MT Medicaid 000062917
MT Medicaid 000085748
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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