MONTANA VAMC (NPI# 1720039464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720039464 |
| Entity Type | Organization |
| Organization Name | MONTANA VAMC |
| Other Organization Name | BOZEMAN VA CLINIC |
| Practice Address |
300 N Willson Ave Ste 703g Bozeman MT 59715-3551 |
| Mailing Address |
Po Box 94451 Cleveland OH 44101-4451 |
| Practice Telephone | 9135784409 |
| Mailing Telephone | 9135784409 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2017-11-30 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| BOZEMAN VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346870714 | Montana Vamc | Clinic/Center | 5535 Haul Road, Suite 12, Browning, MT 59417-9998 | 2020-01-24 |
| 1801271127 | Montana Vamc | Clinic/Center | 2271 Deerfield Lane, Helena, MT 59601-9998 | 2015-07-28 |
| 1518355817 | Montana Vamc | Clinic/Center | 440 West Laurel Avenue, Plentywood, MT 59254-1526 | 2015-01-08 |
| 1053728014 | Montana Vamc | Skilled Nursing Facility | 210 South Winchester, Miles City, MT 59301-4757 | 2014-07-22 |
| 1487831392 | Montana Vamc | Clinic/Center | 8 2nd Ave Ne, Cut Bank, MT 59427-2909 | 2008-01-23 |
| 1386682433 | Montana Vamc | Clinic/Center | 2000 Montana Ave, Glendive, MT 59330-3700 | 2006-06-02 |
| 1376599787 | Montana Vamc | Clinic/Center | 31 Three Mile Drive, Kalispell, MT 59901-3099 | 2006-05-26 |
| 1518912120 | Montana Vamc | Clinic/Center | 1400 29th St S Ste 1, Great Falls, MT 59405-5315 | 2006-05-23 |
| 1285688770 | Montana Vamc | Clinic/Center | 630 2nd Avenue South, Suite A, Glasgow, MT 59230-2304 | 2006-05-20 |
| 1639122823 | Montana Vamc | Clinic/Center | 1766 Majestic Ln, Billings, MT 59102-6759 | 2006-05-18 |
| Street Address |
300 N WILLSON AVE STE 703G |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59715-3551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104468370 | Hannah Ellen Bergman | Psychologist | 300 N Willson Ave Ste 703g, Bozeman, MT 59715-3551 | 2019-10-09 |
| 1992369557 | Megan Hunsaker | Psychologist | 300 N Willson Ave Ste 703g, Bozeman, MT 59715-3551 | 2019-04-29 |
| 1275639833 | Eileen Maria Frelier | Internal Medicine | 300 N Willson Ave Ste 703g, Bozeman, MT 59715-3551 | 2006-09-14 |
| 1144325234 | Shaunna Lynette Kersten | Nurse Practitioner | 300 N Willson Ave Ste 703g, Bozeman, MT 59715-3551 | 2006-09-13 |
| 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 | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346870714 | Montana Vamc | Clinic/Center | 5535 Haul Road, Suite 12, Browning, MT 59417-9998 | 2020-01-24 |
| 1801271127 | Montana Vamc | Clinic/Center | 2271 Deerfield Lane, Helena, MT 59601-9998 | 2015-07-28 |
| 1518355817 | Montana Vamc | Clinic/Center | 440 West Laurel Avenue, Plentywood, MT 59254-1526 | 2015-01-08 |
| 1487831392 | Montana Vamc | Clinic/Center | 8 2nd Ave Ne, Cut Bank, MT 59427-2909 | 2008-01-23 |
| 1386682433 | Montana Vamc | Clinic/Center | 2000 Montana Ave, Glendive, MT 59330-3700 | 2006-06-02 |
| 1376599787 | Montana Vamc | Clinic/Center | 31 Three Mile Drive, Kalispell, MT 59901-3099 | 2006-05-26 |
| 1518912120 | Montana Vamc | Clinic/Center | 1400 29th St S Ste 1, Great Falls, MT 59405-5315 | 2006-05-23 |
| 1285688770 | Montana Vamc | Clinic/Center | 630 2nd Avenue South, Suite A, Glasgow, MT 59230-2304 | 2006-05-20 |
| 1639122823 | Montana Vamc | Clinic/Center | 1766 Majestic Ln, Billings, MT 59102-6759 | 2006-05-18 |
| 1063463222 | Montana Vamc | Clinic/Center | 118 E 7th St, Anaconda, MT 59711-2900 | 2006-05-12 |
| 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.