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NPI Code Detail

MEDICARE: BILLINGS CLINIC

MEDICARE: BILLINGS CLINIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10415688OTHERMTMDCD PIN

General Provider Information

NPI Number : 1043259484
Entity Type Code : Organization
Provider Name (Legal Business Name) : BILLINGS CLINIC
Provider Business Mailing Address
First Line : PO BOX 35100
Second Line :
City : BILLINGS
State : MT
Zip : 59107-5100
Country : US
Telephone Number : 406-238-2500
Fax Number :
Provider Business Practice Location Address
First Line : 710 NORTH 11TH STREET
Second Line :
City : COLUMBUS
State : MT
Zip : 59019-7215
Country : US
Telephone Number : 406-322-4542
Fax Number :
Authorized Official
Title or Position : CFO
Name : KATHLEEN ROSSIE QUINONES
Credential :
Telephone Number : 406-435-6445
Provider Enumeration Date : 06/04/2006
Last Update Date : 01/31/2023

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Directions to “BILLINGS CLINIC ” Practice Location

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