| 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 |