MEDICARE: SOUTHWEST MONTANA RADIOLOGY, LLC

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	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1477642379
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHWEST MONTANA RADIOLOGY, LLC

Provider Business Mailing Address
First Line	:	1101 S MONTANA ST
Second Line	:
City	:	BUTTE
State	:	MT
Zip	:	59701-2857
Country	:	US
Telephone Number	:	406-723-3279
Fax Number	:	406-723-9348

Provider Business Practice Location Address
First Line	:	1101 S MONTANA ST
Second Line	:
City	:	BUTTE
State	:	MT
Zip	:	59701-2857
Country	:	US
Telephone Number	:	406-723-3279
Fax Number	:	406-723-9348

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. SCOTT STEINFELDT
Credential	:
Telephone Number	:	406-723-3279

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	08/22/2020

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