Healthcare Provider Details

I. General information

NPI: 1174515878
Provider Name (Legal Business Name): ORTHO MONTANA, PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2005
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 12TH AVE N SUITE 140W
BILLINGS MT
59101
US

IV. Provider business mailing address

2900 12TH AVE N STE 140W
BILLINGS MT
59101-7507
US

V. Phone/Fax

Practice location:
  • Phone: 406-237-5050
  • Fax: 406-238-6599
Mailing address:
  • Phone: 406-237-5050
  • Fax: 406-238-6599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: ROY STRONG
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 406-238-6587