Healthcare Provider Details

I. General information

NPI: 1790736429
Provider Name (Legal Business Name): HEMATOLOGY ONCOLOGY CENTERS OF THE NORTHERN ROCKIES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 09/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1315 GOLDEN VALLEY CIR
BILLINGS MT
59102-6746
US

IV. Provider business mailing address

PO BOX 30976
BILLINGS MT
59107-0976
US

V. Phone/Fax

Practice location:
  • Phone: 406-238-6290
  • Fax: 406-238-6961
Mailing address:
  • Phone: 406-238-6290
  • Fax: 406-238-6961

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. CATHY BEALER
Title or Position: CEO
Credential:
Phone: 406-238-6285