Healthcare Provider Details
I. General information
NPI: 1851586598
Provider Name (Legal Business Name): BILLINGS CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/06/2007
Last Update Date: 01/31/2023
Certification Date: 01/31/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2702 8TH AVE N
BILLINGS MT
59101-1107
US
IV. Provider business mailing address
PO BOX 37000
BILLINGS MT
59107-7000
US
V. Phone/Fax
- Phone: 406-238-2500
- Fax:
- Phone: 406-238-2500
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KATHLEEN
ROSSIE
QUINONES
Title or Position: CFO
Credential:
Phone: 406-435-6445