OrganizationActive
Bohannon Creek Enterprises, Inc.
NPI 1184640104 · Certified Registered Nurse Anesthetist · Dillon, MT
Provider details
- NPI number
- 1184640104
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Gordon Lucas, President(503) 372-2740
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
90 Highway 91 South
Dillon, MT 59725-3516
Phone: (406) 683-3000
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 34940
Seattle, WA 98124-1940
Registry dates
- Enumerated
- 2006-07-14
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.