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NPI Code Detail

MEDICARE: NORTHERN ROCKIES SURGERY CENTER LP

MEDICARE: NORTHERN ROCKIES SURGERY CENTER LP
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
1261QA1903XAmbulatory Surgical Clinic/Center10126MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962469544
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHERN ROCKIES SURGERY CENTER LP
Provider Business Mailing Address
First Line : 940 N 30TH ST
Second Line :
City : BILLINGS
State : MT
Zip : 59101-0742
Country : US
Telephone Number : 406-248-7186
Fax Number :
Provider Business Practice Location Address
First Line : 940 N 30TH ST
Second Line :
City : BILLINGS
State : MT
Zip : 59101-0742
Country : US
Telephone Number : 406-248-7186
Fax Number :
Authorized Official
Title or Position : VP
Name : JEFFREY M FIELDS
Credential :
Telephone Number : 205-545-2572
Provider Enumeration Date : 04/27/2006
Last Update Date : 06/10/2015

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