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
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	81968	OTHER	MT	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962566562
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BILLINGS CLINIC

Provider Business Mailing Address
First Line	:	PO BOX 31392
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59107-1392
Country	:	US
Telephone Number	:	406-657-4999
Fax Number	:	406-657-4998

Provider Business Practice Location Address
First Line	:	1050 S 25TH ST W
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-7417
Country	:	US
Telephone Number	:	406-657-4999
Fax Number	:	406-657-4998

Authorized Official
Title or Position	:	CFO
Name	:	KATHLEEN ROSSIE QUINONES
Credential	:
Telephone Number	:	406-435-6445

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	01/31/2023

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1050 S 25TH ST W
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1982857801 — MRS. DANIELLE MARIE ELDRIDGE MSW
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1871878694 — CAROLYN JAMISON LCPC
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1050 S 25TH ST W , SUITE 2
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1538671185 — CHELSEY JO DOTSON MSW
Practice Location Address:

1050 S 25TH ST W # 2
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1942708631 — JULIA BARFELS
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1861090672 — MIKAYLA WILLIAMSON
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1050 S 25TH ST W STE 2
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Directions to “BILLINGS CLINIC ” Practice Location

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