Healthcare Provider Details

I. General information

NPI: 1659796332
Provider Name (Legal Business Name): FOOT CARE CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2014
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3990 AVENUE D
BILLINGS MT
59102-7531
US

IV. Provider business mailing address

3990 AVENUE D
BILLINGS MT
59102-7531
US

V. Phone/Fax

Practice location:
  • Phone: 406-252-5444
  • Fax: 406-245-9043
Mailing address:
  • Phone: 406-252-5444
  • Fax: 406-245-9043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP1100X
TaxonomyPodiatric Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number165
License Number StateMT

VIII. Authorized Official

Name: CRAIG MCLAWS
Title or Position: CEO
Credential: D.P.M.
Phone: 406-252-5444