MEDICARE: MONTANA OCCUPATIONAL HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QX0100X	Occupational Medicine Clinic/Center	264	MT
2	261QX0100X	Occupational Medicine Clinic/Center	117	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306187398
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONTANA OCCUPATIONAL HEALTH

Provider Business Mailing Address
First Line	:	536 S COTTONWOOD RD
Second Line	:
City	:	BOZEMAN
State	:	MT
Zip	:	59718-9515
Country	:	US
Telephone Number	:	406-556-1900
Fax Number	:	406-548-6265

Provider Business Practice Location Address
First Line	:	536 S COTTONWOOD RD
Second Line	:
City	:	BOZEMAN
State	:	MT
Zip	:	59718-9515
Country	:	US
Telephone Number	:	406-556-1900
Fax Number	:	406-548-6265

Authorized Official
Title or Position	:	DIRECTOR
Name	:	LARRY D. WALKER
Credential	:	MS, PA-C
Telephone Number	:	406-556-1900

Provider Enumeration Date	:	03/15/2013
Last Update Date	:	03/15/2013

Similar Medicare Providers

1457396186 — DEAN C SUKIN M.D.
Practice Location Address:

536 S COTTONWOOD RD
BOZEMAN, MT
59718-9515

Practice Phone: 406-586-8029
Practice Fax: 406-586-8009

1790773133 — MS. MELISSA JEAN HUMPAL FISHER MS, ATC
Practice Location Address:

536 S COTTONWOOD RD , SUITE 100
BOZEMAN, MT
59718-9515

Practice Phone: 406-586-8029
Practice Fax:

1174896419 — MRS. VIRGINIA R JEPPESEN NP-C
Practice Location Address:

536 S COTTONWOOD RD
BOZEMAN, MT
59718-9515

Practice Phone: 406-586-8029
Practice Fax:

1912324385 — JENNIFER SCHRODER LAT
Practice Location Address:

536 S COTTONWOOD RD , #100
BOZEMAN, MT
59718-9515

Practice Phone: 406-586-8029
Practice Fax: 406-586-8009

1346771383 — ORTHOPEDIC SURGICAL CENTER OF MONTANA, LLC
Practice Location Address:

536 S COTTONWOOD RD , STE. 100
BOZEMAN, MT
59718-9515

Practice Phone: 406-586-8029
Practice Fax:

1497618284 — GALLATIN COUNSELING, PLLC
Practice Location Address:

1657 WINDROW DR UNIT 13
BOZEMAN, MT
59718-3591

Practice Phone: 406-624-9311
Practice Fax:

Directions to “MONTANA OCCUPATIONAL HEALTH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.