DEACONESS INTERCITY IMAGING,LLC (NPI# 1497704860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497704860 |
| Entity Type | Organization |
| Organization Name | DEACONESS INTERCITY IMAGING,LLC |
| Other Organization Name | ADVANCED MEDICAL IMAGING |
| Practice Address |
905 Highland Blvd Suite 4100 Bozeman MT 59715-6902 |
| Mailing Address |
1648 Ellis St Ste 201 Bozeman MT 59715-8811 |
| Practice Telephone | 4065565200 |
| Practice Fax Number | 4065565205 |
| Mailing Telephone | 4065878631 |
| Mailing Fax Number | 4065871343 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2020-09-04 |
| Authorized Official Name | JESSICALEE FANDRICH (CREDENTILAING MANAGER) |
| Authorized Official Telephone | 4065878631 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
7873 | MT | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Advanced Medical Imaging | Doing Business As Name - Organization |
| Street Address |
905 HIGHLAND BLVD SUITE 4100 |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59715-6902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437154291 | Andrew W Grace | Surgery | 905 Highland Blvd, Ste 4450, Bozeman, MT 59715-6901 | 2005-06-17 |
| 1457718934 | Nicholas Anthony,phd,p.a. | Psychologist | 905 Highland Blvd, Ste 4500, Bozeman, MT 59715-6901 | 2016-01-28 |
| 1083980619 | Daniel Scott Mitchell | Internal Medicine | 905 Highland Blvd, Bozeman, MT 59715-6901 | 2012-03-28 |
| 1982988606 | Betsy Mae Biggerstaff | Pharmacist | 905 Highland Blvd, Suite 4500, Bozeman, MT 59715-6901 | 2011-09-29 |
| 1093095044 | Montana Surgical Clinic Pllc | Surgery | 905 Highland Blvd, Suite 4450, Bozeman, MT 59715-6901 | 2011-08-23 |
| 1932406592 | Genevieve Marie Euduria Butler | Massage Therapist | 905 Highland Blvd, Suite 4420, Bozeman, MT 59715-6901 | 2011-02-17 |
| 1699088799 | Janice Garcia | Physical Therapy Assistant | 905 Highland Blvd, Bozeman, MT 59715-6901 | 2010-07-17 |
| 1205074648 | Cynthia M Carter | Physician Assistant | 905 Highland Blvd, Suite 4100, Bozeman, MT 59715-6901 | 2009-01-22 |
| 1194915397 | Steffan John May | Internal Medicine | 905 Highland Blvd, Suite 4500, Bozeman, MT 59715-6901 | 2007-07-25 |
| 1629137880 | Nicholas Charles Anthony | Psychologist | 905 Highland Blvd, Ste. 4500, Bozeman, MT 59715-6901 | 2006-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152288 | Ch Mh Services (il), LLC | Clinic/Center | 233 E Main St Suite 401, Bozeman, MT 59715 | 2020-10-22 |
| 1134735269 | Montana Therapy and Consulting Pllc | Social Worker | 110 S Grand Ave, Floor 2, Bozeman, MT 59715 | 2020-09-23 |
| 1831715994 | Alyson Raph | Student in an Organized Health Care Education/Training Program | 1 Anna Pearl Sherrick Hal, Bozeman, MT 59715 | 2020-06-24 |
| 1639702780 | Miranda Shields | Massage Therapist | 1001 W. Oak St. Bldg C Ste 210, Bozeman, MT 59715 | 2020-02-18 |
| 1154988590 | Christina Yancy | Massage Therapist | Bldg C, Ste 210, 1001 W Oak St, Bozeman, MT 59715 | 2019-05-21 |
| 1962068767 | Julie A Hisey | Physical Therapist | 1700 W. Koch, Suite 12, Bozeman, MT 59715 | 2019-05-16 |
| 1639631633 | Joshua Wallace | Massage Therapist | 1001 W Oak St, Bldg. C Ste. 210, Bozeman, MT 59715 | 2019-04-01 |
| 1528523388 | Judith Margaret Firehammer | Psychologist | 37 East Main St, Suite 7, Bozeman, MT 59715 | 2019-02-06 |
| 1194280875 | Erica Kotick | Counselor | 2246 Boot Hill Court, Suite 4, Bozeman, MT 59715 | 2019-02-06 |
| 1194291609 | Providence Mental Health Pllc | Social Worker | 2246 Boot Hill Ct. Unit #4, Bozeman, MT 59715 | 2018-10-23 |
| Find all providers in zip 59715 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659855443 | Bozeman Diagnostics LLC | Clinic/Center | 875 Bridger Dr Ste G, Bozeman, MT 59715-2303 | 2018-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417028648 | Medical Imaging Connections | Clinic/Center | 1220 2nd St W, Roundup, MT 59072-1836 | 2006-11-10 |
| 1164437943 | Advanced Imaging At Community Medical Center, LLC | Clinic/Center | 2803 South Ave W, Missoula, MT 59804-5103 | 2006-07-30 |
| 1922548650 | Sound Health Imaging, Inc. | Clinic/Center | 1400 29th St S, Great Falls, MT 59405-5315 | 2017-02-28 |
| 1598033755 | Community Mri Services, LLC | Clinic/Center | 1739 Spring Creek Lane, Suite 400, Billings, MT 59102-6756 | 2011-12-02 |
| 1740318948 | Teton Medical Center | Clinic/Center | 915 4th St Nw, Choteau, MT 59422-9123 | 2007-03-01 |
| 1750459715 | Central Montana Medical Facilities, Inc. | Clinic/Center | 408 Wendell Ave, Lewistown, MT 59457-2261 | 2006-11-30 |
| 1386713832 | Northwest Imaging, PC | Clinic/Center | 320 Sunnyview Ln, Kalispell, MT 59901-3129 | 2006-11-07 |
| 1710088448 | North Valley Dexa Scan | Clinic/Center | 1111 Baker Ave, Whitefish, MT 59937-2901 | 2006-09-26 |
| 1063442598 | St. Vincent Healthcare | Clinic/Center | 1041 N 29th St, Billings, MT 59101-0700 | 2006-07-03 |
Please comment or provide details below to improve the information on DEACONESS INTERCITY IMAGING,LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.