NPI | 1316531320 |
---|---|
Other Name | BOZEMAN HEALTH COTTONWOOD PRIMARY CARE MEDICAID PASSPORT NPI |
Entity Type | Organization |
Authorized Contact | BRAD K LUDFORD CFO 406-414-1036 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
208000000X Pediatrics | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2021-02-22 |
Last Update Date | 2024-11-19 |