| |
1125 Broadwater Ave Billings MT 59102-5412 | |
(406) 534-4558 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 1125 Broadwater Ave, Billings, Montana |
Authorized Official Name and Position | Chris Obrien (OPERATIONS ADMINISTRATOR) |
Authorized Official Contact | 4065911215 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
17 North 26th Street Billings MT 59101 Ph: (406) 259-3804 | 1125 Broadwater Ave Billings MT 59102-5412 Ph: (406) 534-4558 |
NPI Number | 1649754300 |
---|---|
Provider Enumeration Date | 09/19/2018 |
Last Update Date | 07/25/2024 |
Medicare PECOS PAC ID | 0547509390 |
---|---|
Medicare Enrollment ID | O20190313001460 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649754300 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
St Vincent Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 12th Ave N, Suite 130w, Billings, MT 59101 Phone: 406-237-3620 | |
Pediatric Therapy Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1610 Poly Dr, Billings, MT 59102 Phone: 406-259-1680 | |
Circle 7 Solutions Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3737 Grand Ave Ste 2, Billings, MT 59102 Phone: 406-861-5517 | |