MEDICARE: BILLINGS CLINIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207N00000X	Dermatology Physician
2	207Q00000X	Family Medicine Physician
3	133V00000X	Registered Dietitian
4	207RC0000X	Cardiovascular Disease Physician
5	207RG0100X	Gastroenterology Physician
6	207RH0003X	Hematology & Oncology Physician
7	207V00000X	Obstetrics & Gynecology Physician
8	207VM0101X	Maternal & Fetal Medicine Physician
9	207W00000X	Ophthalmology Physician
10	207X00000X	Orthopaedic Surgery Physician
11	2084N0400X	Neurology Physician
12	208600000X	Surgery Physician
13	208800000X	Urology Physician
14	213E00000X	Podiatrist
15	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0415688	OTHER	MT	MDCD PIN

General Provider Information

NPI Number	:	1265648455
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BILLINGS CLINIC

Provider Business Mailing Address
First Line	:	PO BOX 35100
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59107-5100
Country	:	US
Telephone Number	:	406-587-9202
Fax Number	:

Provider Business Practice Location Address
First Line	:	3905 WELLNESS WAY
Second Line	:
City	:	BOZEMAN
State	:	MT
Zip	:	59718-2402
Country	:	US
Telephone Number	:	406-587-9202
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	KATHLEEN ROSSIE QUINONES
Credential	:
Telephone Number	:	406-435-6445

Provider Enumeration Date	:	05/15/2007
Last Update Date	:	10/23/2023

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Directions to “BILLINGS CLINIC ” Practice Location

Language	Start Address	Practice Location

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