BOZEMAN OUTPATIENT SURGERY CENTER – NPI #1285251132
Clinic/Center

BOZEMAN OUTPATIENT SURGERY CENTER is an AHC clinic located in BOZEMAN, MT. NPPES has assigned the NPI number 1285251132 to BOZEMAN OUTPATIENT SURGERY CENTER on June 26, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BOZEMAN OUTPATIENT SURGERY CENTER” is a dba name, the actual legal business name for this organization is WEST BOZEMAN SURGERY CENTER, LLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Sep 05, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BOZEMAN OUTPATIENT SURGERY CENTER below.

NPI Profile for
WEST BOZEMAN SURGERY CENTER, LLC

NPI Number
1285251132
Enumeration Date

(about 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WEST BOZEMAN SURGERY CENTER, LLC
Doing Business As (dba): BOZEMAN OUTPATIENT SURGERY CENTER
Primary location
875 S COTTONWOOD RD
SUITE 100
BOZEMAN, MT 59718
Phone: (972) 763-3859 Fax:
Mailing address
875 S COTTONWOOD RD STE 100
BOZEMAN, MT 59718-4208
Phone: (406) 219-2800 Fax: (406) 219-2805
Organization Subpart
No
Authorized Official
ERIC BOON
OFFICER/AUTHORIZED OFFICIAL
Phone: (480) 567-0269
Updated
Certification Date
Sep 05, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.667.2
Content Type
Affiliation
Y
Endpoint Location
100 N 6TH ST STE 900A,
MINNEAPOLIS, MN 77025-1669