Healthcare Provider Details

I. General information

NPI: 1306902820
Provider Name (Legal Business Name): BILLINGS CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2006
Last Update Date: 01/31/2023
Certification Date: 01/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 10TH AVE N
BILLINGS MT
59101-0703
US

IV. Provider business mailing address

PO BOX 37000
BILLINGS MT
59107-7000
US

V. Phone/Fax

Practice location:
  • Phone: 406-657-4000
  • Fax:
Mailing address:
  • Phone: 406-657-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0700X
TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KATHLEEN ROSSIE QUINONES
Title or Position: CFO
Credential:
Phone: 406-435-6445