Provider Demographics
NPI:1487301420
Name:BIG SKY INTEGRATIVEHEALTH, PC
Entity type:Organization
Organization Name:BIG SKY INTEGRATIVEHEALTH, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:406-388-6676
Mailing Address - Street 1:1828 AMSTERDAM RD #201
Mailing Address - Street 2:
Mailing Address - City:BELGRADE
Mailing Address - State:MT
Mailing Address - Zip Code:59714
Mailing Address - Country:US
Mailing Address - Phone:406-388-6676
Mailing Address - Fax:406-388-2170
Practice Address - Street 1:1828 AMSTERDAM RD #201
Practice Address - Street 2:
Practice Address - City:BELGRADE
Practice Address - State:MT
Practice Address - Zip Code:59714
Practice Address - Country:US
Practice Address - Phone:406-388-6676
Practice Address - Fax:406-388-2170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-09
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center