Healthcare Provider Details

I. General information

NPI: 1023710597
Provider Name (Legal Business Name): HATCH URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 03/20/2023
Certification Date: 03/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 W KAGY BLVD STE G
BOZEMAN MT
59715-6056
US

IV. Provider business mailing address

280 W KAGY BLVD STE G
BOZEMAN MT
59715-6056
US

V. Phone/Fax

Practice location:
  • Phone: 406-587-5870
  • Fax: 406-522-1536
Mailing address:
  • Phone: 406-587-5870
  • Fax: 406-522-1536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SUSAN DANIELS
Title or Position: OWNER
Credential: MD
Phone: 406-587-5870