Healthcare Provider Details

I. General information

NPI: 1992255343
Provider Name (Legal Business Name): BILLINGS CLINIC CANCER CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2016
Last Update Date: 01/31/2023
Certification Date: 01/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 N 29TH ST
BILLINGS MT
59101-0905
US

IV. Provider business mailing address

801 N 29TH ST
BILLINGS MT
59101-0905
US

V. Phone/Fax

Practice location:
  • Phone: 406-435-7430
  • Fax: 406-238-7439
Mailing address:
  • Phone: 406-435-7430
  • Fax: 406-238-7439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number1290
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State

VIII. Authorized Official

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