Healthcare Provider Details

I. General information

NPI: 1588617104
Provider Name (Legal Business Name): BIG SKY DIAGNOSTIC IMAGING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 02/15/2024
Certification Date: 02/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 S ALABAMA ST SUITE 7
BUTTE MT
59701-2315
US

IV. Provider business mailing address

401 S ALABAMA ST SUITE 7
BUTTE MT
59701-2315
US

V. Phone/Fax

Practice location:
  • Phone: 406-782-2997
  • Fax: 406-782-1254
Mailing address:
  • Phone: 406-782-2997
  • Fax: 406-782-1254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BARBARA A. COOK
Title or Position: MANAGER
Credential: MHA
Phone: 406-782-1573