Healthcare Provider Details
I. General information
NPI: 1093348641
Provider Name (Legal Business Name): FOOT CARE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/21/2020
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
513 HILLTOP RD
BILLINGS MT
59105-2375
US
IV. Provider business mailing address
513 HILLTOP RD STE 2
BILLINGS MT
59105-2375
US
V. Phone/Fax
- Phone: 406-252-5444
- Fax:
- Phone: 406-252-5444
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP1100X |
| Taxonomy | Podiatric Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CRAIG
J
MCLAWS
Title or Position: CEO
Credential: DPM
Phone: 406-252-5444