Provider Demographics
NPI:1568708360
Name:BIG SKY ANESTHETICS PC
Entity Type:Organization
Organization Name:BIG SKY ANESTHETICS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:K
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:406-465-5751
Mailing Address - Street 1:5611 RAINBOW DR
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59602-9574
Mailing Address - Country:US
Mailing Address - Phone:406-465-5751
Mailing Address - Fax:
Practice Address - Street 1:3116 SADDLE DR
Practice Address - Street 2:SUITE #2
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-8645
Practice Address - Country:US
Practice Address - Phone:406-449-9100
Practice Address - Fax:406-502-1525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-26
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT6345139-002-WTH261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical