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General NPI Number Information
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NPI Number | 1144194960
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Entity Type | Organization
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Legal Business Name | BOZEMAN HEALTH BIG SKY MEDICAL CENTER, LLC
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Dates
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Enumeration Date | 10/03/2025
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 875 S COTTONWOOD RD STE 200
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City | BOZEMAN
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State | MT
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Zip | 59718-4222
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Country | US
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Telephone | 406-414-5336
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Fax |
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Provider Business Mailing Address
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Address Line | 915 HIGHLAND BLVD
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City | BOZEMAN
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State | MT
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Zip | 59715-6902
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | BRAD K LUDFORD
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Credential |
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Telephone | 406-414-1036
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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