Surgical Associates Of Bozeman, Pc

LBN: Surgical Associates Of Bozeman, Pc
Surgical Associates Of Bozeman, Pc is an health care organization with primary practice located at 925 Highland Boulevard Suite 1200, Bozeman MT 59715-6900. The organization recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Surgical Associates Of Bozeman, Pc can be contacted via phone (406) 587-0704, or through Banks, Kelly L via phone (406) 587-0704.

Contact Information

Primary practice address
925 Highland Boulevard Suite 1200 Bozeman MT 59715-6900
Phone: (406) 587-0704
Fax: (406) 587-1147
Website:
Map and Directions
Authorized official contact:
Name: Banks, Kelly L Doctor of Medicine (MD)
Phone: (406) 587-0704

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 15264 Montana
Allopathic & Osteopathic Physicians / Surgery 208600000X 4000 Montana
Allopathic & Osteopathic Physicians / Surgery 208600000X 6438 Montana
Allopathic & Osteopathic Physicians / Surgery 208600000X 9898 Montana
Allopathic & Osteopathic Physicians / Surgery 208600000X 10338 Montana
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1841320629
LBN Legal business name Surgical Associates Of Bozeman, Pc
DBA Doing business as
Authorized official Banks, Kelly L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2007
Last updated Aug 22nd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841320629 NPPES
Montana MEDICAID 000062917
Montana MEDICAID 000048568
Montana MEDICAID 000037700
Montana MEDICAID 000085748

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