MEDICARE: MONTANA STATE UNIVERSITY - BILLINGS

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
1	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1679767057
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONTANA STATE UNIVERSITY - BILLINGS

Provider Business Mailing Address
First Line	:	1500 UNIVERSITY DR
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59101-0245
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 UNIVERSITY DR
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59101-0245
Country	:	US
Telephone Number	:	406-657-2375
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF FINANCIAL SERVICES
Name	:	MS. LEANN ANDERSON
Credential	:
Telephone Number	:	406-657-2131

Provider Enumeration Date	:	08/29/2007
Last Update Date	:	08/07/2008

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