=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346539970
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | YELLOWSTONE CITY COUNTY HEALTH DEPARTMENT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/05/2011
-----------------------------------------------------
Last Update Date | 05/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 602 W FRONT AVE
-----------------------------------------------------
City | JOLIET
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59041-9410
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-962-9062
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 123 S 27TH ST
-----------------------------------------------------
City | BILLINGS
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59101-4200
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-247-3200
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EVP & CFO
-----------------------------------------------------
Name | SHANNA ZIER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 406-247-3200
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QF0400X
-----------------------------------------------------
Taxonomy Name | Federally Qualified Health Center (FQHC)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------