WEST BOZEMAN SURGERY CENTER LLC NPI 1285251132

NPI Information

NPI: 1285251132
Provider Name: WEST BOZEMAN SURGERY CENTER, LLC

Doing Business As: BOZEMAN OUTPATIENT SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
875 S COTTONWOOD RD
SUITE 100
BOZEMAN, MT
ZIP 59718
Phone: (972) 763-3859
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WEST BOZEMAN SURGERY CENTER, LLC is an ambulatory surgical clinic center in Bozeman, MT. WEST BOZEMAN SURGERY CENTER, LLC NPI is 1285251132. The provider is registered as an organization entity type.
The provider Is Doing Business As Bozeman Outpatient Surgery Center.

The provider's business location address is:

875 S COTTONWOOD RD
SUITE 100
BOZEMAN, MT
ZIP 59718
Phone: (972) 763-3859

The provider's authorized official is Eric Boon .
The authorized official title is Officer/authorized Official and has the following contact phone number (480) 567-0269.

The CLIA number assigned to this NPI record is 27D2213797 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/26/2020 and was last updated on 11/8/2021.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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: 5/5/2024

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