| Bridger Psychiatric Services Pc | |
|
2040 N 22nd Ave Ste 2 Bozeman MT 59718-3152 | |
| (406) 586-5511 | |
| (406) 586-4713 |
| Full Name | Bridger Psychiatric Services Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2040 N 22nd Ave Ste 2, Bozeman, Montana |
| Authorized Official Name and Position | Kenneth Olson (OWNER) |
| Authorized Official Contact | 4065865511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridger Psychiatric Services Pc 2040 N 22nd Ave Ste 2 Bozeman MT 59718-3152 Ph: (406) 586-5511 | Bridger Psychiatric Services Pc 2040 N 22nd Ave Ste 2 Bozeman MT 59718-3152 Ph: (406) 586-5511 |
| NPI Number | 1902075419 |
|---|---|
| Provider Enumeration Date | 02/28/2008 |
| Last Update Date | 06/15/2020 |
| Certification Date | 06/15/2020 |
| Medicare PECOS PAC ID | 3678477700 |
|---|---|
| Medicare Enrollment ID | O20031120000955 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902075419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Kenneth C Olson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407927510 PECOS PAC ID: 4284538315 Enrollment ID: I20031210001103 |
| Provider Name | Billie J Stredwick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093381162 PECOS PAC ID: 5799129581 Enrollment ID: I20240220003945 |
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