BOULDER MEDICAL CLINIC INC – NPI #1043396054
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

BOULDER MEDICAL CLINIC INC is a provider located in BOULDER, MT. NPPES has assigned the NPI number 1043396054 to BOULDER MEDICAL CLINIC INC on October 31, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BOULDER MEDICAL CLINIC INC” is a dba name, the actual legal business name for this organization is ELKHORN MOUNTAIN HEALTH SERVICES INC. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 18 years ago on Apr 29, 2008. 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 BOULDER MEDICAL CLINIC INC below.

NPI Profile for
ELKHORN MOUNTAIN HEALTH SERVICES INC

NPI Number
1043396054
Enumeration Date

(more than 19 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
ELKHORN MOUNTAIN HEALTH SERVICES INC
Doing Business As (dba): BOULDER MEDICAL CLINIC INC
Primary location
214 SOUTH MAIN
BOULDER, MT 59632
Phone: (406) 225-4201 Fax: (406) 225-9161
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LEE SWANSON
VICE PRESIDENT
Phone: (406) 225-4201
Updated
Identifiers

Identifiers for BOULDER MEDICAL CLINIC INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMT720291
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
207Q00000X
- Family Medicine (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.