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NPI Code Detail

MEDICARE: ARTHRITIS AND OSTEOPOROSIS CENTER PC

MEDICARE: ARTHRITIS AND OSTEOPOROSIS CENTER PC
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
1207RE0101XEndocrinology, Diabetes & Metabolism Physician
2207RR0500XRheumatology Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CN7149OTHERGROUP RAILROAD MEDICARE

General Provider Information

NPI Number : 1609945104
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARTHRITIS AND OSTEOPOROSIS CENTER PC
Provider Business Mailing Address
First Line : 708 BROADWATER AVE
Second Line :
City : BILLINGS
State : MT
Zip : 59101-2710
Country : US
Telephone Number : 406-839-2900
Fax Number : 406-839-2910
Provider Business Practice Location Address
First Line : 708 BROADWATER AVE
Second Line :
City : BILLINGS
State : MT
Zip : 59101-2710
Country : US
Telephone Number : 406-839-2900
Fax Number : 406-839-2910
Authorized Official
Title or Position : VICE PRESIDENT
Name : DOUGLAS W. ROANE
Credential : MD
Telephone Number : 406-839-2900
Provider Enumeration Date : 11/07/2006
Last Update Date : 08/12/2010

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Practice Location Address:
708 BROADWATER AVE
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1053425462 — SUSAN ASBELL FNP
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Practice Fax:
1629203054 — PEDIATRIC THERAPY CLINIC
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1043550734 — KELLY MARIE GEARY RUGGLES SLP
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1063858306 — KATY ANN HARMAN M.S.CCC-SLP
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