Intercity Radiology, PC
NPI 1356390736ActiveOrganization· Specialist· Bozeman, MT
Specialist in Bozeman, Montana, registered in NPPES in May 2006. The authorized official on file is Jessicalee Fandrich, Credentialing Manger. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1356390736 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 10, 2006 |
| Last updated in NPPES | Sep 4, 2020 |
| Certified by provider | Sep 4, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (MT) |
|---|
Other Specialist providers in Bozeman
- 1629090758
- 1932177656
- 1447244140
- 1194057109
- 1174962542
- 1174986533
- 1609014349
- 1770651226
- 1629333109
- 1972523942
- 1265883037
- 1578957494