Four Corners Health Care Inc in Bozeman - Pediatrics
Four Corners Health Care Inc - NPI 1245312644
Four Corners Health Care Inc is a Pediatrics in Bozeman, Montana. Four Corners Health Care Inc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Four Corners Health Care Inc is 1245312644. The last update date is 2020-08-22.
Four Corners Health Care Inc's current location address is 7720 Shedhorn Dr Ste D, Bozeman, Montana. You can contact this provider via phone number 4065568300 and fax number 4065568304. The mailing address for Four Corners Health Care Inc is 7720 Shedhorn Dr Ste D, Bozeman, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Four Corners Health Care Inc |
|---|---|
| Address | 7720 Shedhorn Dr Ste D, Bozeman, Montana |
| Phone Number | 4065568300 |
| Fax Number | 4065568304 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mitchell Sills Marie |
| Credentials | CNP PNP |
| Telephone Number | 4065568300 |
NPI Number Detail
| NPI Number | 1245312644 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 7720 Shedhorn Dr Ste D |
|---|---|
| City | Bozeman |
| State | Montana (MT) |
| Post Code | 59718 |
| Phone Number | 4065568300 |
| Fax Number | 4065568304 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | RN20521 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4307043 | MT | -- |
Post Comment/ Review Below
What is the Four Corners Health Care Inc's unique identification number?
The Four Corners Health Care Inc has been assigned the NPI (National Provider Identifier) Number 1245312644 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Four Corners Health Care Inc's facilities are situated?
The facilities of Four Corners Health Care Inc are physically located at the following address: 7720 Shedhorn Dr Ste D, Bozeman, MT, 59718.
What is the area of specialization for Four Corners Health Care Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Four Corners Health Care Inc is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 363Lp0200X.
On what date did the Four Corners Health Care Inc receive its 1245312644 assignment from the Centers for Medicare & Medicaid Services?
The Four Corners Health Care Inc was assigned its 1245312644 by the Centers for Medicare & Medicaid Services on 2006-10-19.
When was the Four Corners Health Care Inc's information last updated?
The Four Corners Health Care Inc's information was last updated on 2020-08-22.
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