OrganizationActive
Intercity Radiology, PC
NPI 1356390736 · Specialist · Bozeman, MT
Provider details
- NPI number
- 1356390736
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Jessicalee Fandrich, Credentialing Manger(406) 587-8631
Specialties & taxonomies
Other Service Providers
Practice location
1648 Ellis St Ste 201
Bozeman, MT 59715-8811
Phone: (406) 587-8631
Fax: (406) 587-1343
Approximate (ZIP-level) locationGet directions
Mailing address
1648 Ellis St Ste 201
Bozeman, MT 59715-8811
Other names (DBA / former)
- Other name
- None
Registry dates
- Enumerated
- 2006-05-10
- Last updated
- 2020-09-04
- Certified
- 2020-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.