BOZEMAN DIALYSIS CENTER (NPI# 1700942455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700942455 |
| Entity Type | Organization |
| Organization Name | BOZEMAN DIALYSIS CENTER |
| Practice Address |
931 Highland Blvd Suite 3105 Bozeman MT 59715-6911 |
| Practice Telephone | 4065855090 |
| Practice Fax Number | 4065851070 |
| Mailing Telephone | 4065855090 |
| Mailing Fax Number | 4065851070 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2012-03-14 |
| Authorized Official Name | ELIZABETH S LEWIS (SECRETARY) |
| Authorized Official Telephone | 4065851077 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | MDCD PIN | 0730218 | 01 |
| Street Address |
931 HIGHLAND BLVD SUITE 3105 |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59715-6911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588657456 | Benjamin L Blend | Pathology | 931 Highland Blvd, Suite 3220, Bozeman, MT 59715-6911 | 2005-08-25 |
| 1134518251 | Susan Niles | Nurse Practitioner | 931 Highland Blvd, Bozeman, MT 59715-6911 | 2015-01-13 |
| 1679913800 | Casey Clarice Ebert | Podiatrist | 931 Highland Blvd, Suite 3310, Bozeman, MT 59715-6911 | 2013-07-02 |
| 1124468533 | April Dearing | Physical Therapist | 931 Highland Blvd, Bozeman, MT 59715-6911 | 2013-06-29 |
| 1083999601 | Fresenius Medical Care of Montana, LLC | Clinic/Center | 931 Highland Blvd, Suite 3105, Bozeman, MT 59715-6911 | 2011-10-14 |
| 1154556702 | Kristina Marie Hool | Internal Medicine | 931 Highland Blvd, Bozeman, MT 59715-6911 | 2009-05-27 |
| 1992974497 | Bridger Child & Adolescent Psychiatry | Health Maintenance Organization | 931 Highland Blvd, Ste. 3340, Bozeman, MT 59715-6911 | 2008-02-28 |
| 1003090481 | Melissa Rae Reily | Internal Medicine | 931 Highland Blvd, Suite 3260, Bozeman, MT 59715-6911 | 2007-12-20 |
| 1134334204 | Barbara Jeanne Eckstein | Nurse Practitioner | 931 Highland Blvd, Suite 3340, Bozeman, MT 59715-6911 | 2007-05-11 |
| 1891817011 | Bozeman Foot and Ankle Clinic P.C. | Podiatrist | 931 Highland Blvd, Suite 3310, Bozeman, MT 59715 | 2007-04-06 |
| 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 | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083999601 | Fresenius Medical Care of Montana, LLC | Clinic/Center | 931 Highland Blvd, Suite 3105, Bozeman, MT 59715-6911 | 2011-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992284814 | Community Medical Center Dialysis | Clinic/Center | 1325 S Reserve St, Missoula, MT 59801-4759 | 2018-08-10 |
| 1124536453 | Dialysis Clinic Inc | Clinic/Center | 2708 Main Street, #4, Miles City, MT 59301 | 2018-01-22 |
| 1790227403 | Dialysis Clinic Inc | Clinic/Center | 303 Ridgewater Dr, Polson, MT 59860-8547 | 2016-11-11 |
| 1144682758 | Fresenius Medical Care of Montana LLC | Clinic/Center | 305 Ridgewater Dr, Polson, MT 59860-8547 | 2016-03-23 |
| 1073975686 | Gfld,llc | Clinic/Center | 1724 26th Street S, Great Falls, MT 59405-5272 | 2016-03-23 |
| 1043634280 | Billings Clinic Dialysis LLC | Clinic/Center | 616 N 25th St, Billings, MT 59101-1040 | 2014-02-07 |
| 1578993663 | Total Renal Care Inc | Clinic/Center | 3400 10th Ave S, Ste 1, Great Falls, MT 59405-3473 | 2013-11-26 |
| 1679871537 | Fresenius Medical Care of Montana, LLC | Clinic/Center | 3745 Harrison Ave, Suite D, Butte, MT 59701-6814 | 2011-03-02 |
| 1861790727 | Fresenius Medical Care of Montana, LLC | Clinic/Center | 3100 Great Northern Ave, Missoula, MT 59808-1539 | 2011-03-02 |
| 1053477547 | Billings Clinic | Clinic/Center | I 90 & 212, Crow Agency, MT 59022 | 2006-12-29 |
| Find all providers with the same taxonomy | ||||
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| 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.