Healthcare Provider Details

I. General information

NPI: 1609916071
Provider Name (Legal Business Name): WILLSON LLC DBA CITY CAB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 N 20TH ST
BILLINGS MT
59101-1403
US

IV. Provider business mailing address

PO BOX 2333
BILLINGS MT
59103-2333
US

V. Phone/Fax

Practice location:
  • Phone: 406-254-2900
  • Fax: 406-254-1805
Mailing address:
  • Phone: 406-254-2900
  • Fax: 406-254-1805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: CINDY BOYD
Title or Position: OFFICE MANAGER
Credential:
Phone: 406-254-2900