Healthcare Provider Details

I. General information

NPI: 1740693761
Provider Name (Legal Business Name): BOZEMAN HEALTH URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2014
Last Update Date: 03/05/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1006 W MAIN ST
BOZEMAN MT
59715-3219
US

IV. Provider business mailing address

915 HIGHLAND BLVD
BOZEMAN MT
59715-6902
US

V. Phone/Fax

Practice location:
  • Phone: 406-414-4800
  • Fax: 406-414-4899
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANGIE LIBERTINI
Title or Position: PAYER ENROLLMENT SUPERVISOR
Credential:
Phone: 406-414-1958