MEDICARE: COMMUNITY SOLUTIONS INCORPORATED

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251K00000X	Public Health or Welfare Agency
2	291U00000X	Clinical Medical Laboratory

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	27D2169570	OTHER		CLIA

General Provider Information

NPI Number	:	1275182966
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY SOLUTIONS INCORPORATED

Provider Business Mailing Address
First Line	:	207 N BROADWAY STE 110
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59101-1951
Country	:	US
Telephone Number	:	406-896-4912
Fax Number	:	406-896-4913

Provider Business Practice Location Address
First Line	:	207 N BROADWAY STE 110
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59101-1951
Country	:	US
Telephone Number	:	406-896-4912
Fax Number	:	406-896-4913

Authorized Official
Title or Position	:	OWNER
Name	:	GREG POHLE
Credential	:
Telephone Number	:	406-896-4912

Provider Enumeration Date	:	09/05/2019
Last Update Date	:	03/04/2020

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Directions to “COMMUNITY SOLUTIONS INCORPORATED ” Practice Location

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