Healthcare Provider Details

I. General information

NPI: 1659323780
Provider Name (Legal Business Name): INTERNAL MEDICINE ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 12TH AVE N SUITE 310
BILLINGS MT
59101-7506
US

IV. Provider business mailing address

2900 12TH AVE N SUITE 310
BILLINGS MT
59101-7506
US

V. Phone/Fax

Practice location:
  • Phone: 406-238-6900
  • Fax:
Mailing address:
  • Phone: 406-238-6900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE QUALLS
Title or Position: PRACTICE MANAGER
Credential:
Phone: 406-238-6903