Healthcare Provider Details

I. General information

NPI: 1497785588
Provider Name (Legal Business Name): BILLINGS OB-GYN ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 06/27/2024
Certification Date: 06/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 ZIMMERMAN TRL
BILLINGS MT
59102-7652
US

IV. Provider business mailing address

1611 ZIMMERMAN TRL
BILLINGS MT
59102-7652
US

V. Phone/Fax

Practice location:
  • Phone: 406-248-3607
  • Fax: 406-248-8919
Mailing address:
  • Phone: 406-248-3607
  • Fax: 406-248-8919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberD086328
License Number StateMT

VIII. Authorized Official

Name: MR. ROB HARDING
Title or Position: CEO
Credential:
Phone: 406-248-3607