| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 515 N 27th St, Billings, Montana |
| Authorized Official Name and Position | Janet M Kelly (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 4066516436 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
123 S 27th St Billings MT 59101-4227 Ph: (406) 247-3200 | 515 N 27th St Billings MT 59101 Ph: (406) 247-3200 |
| NPI Number | 1215436092 |
|---|---|
| Provider Enumeration Date | 02/07/2018 |
| Last Update Date | 02/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215436092 | NPI | - | NPPES |
| 000080527 | Other | MEDICARE PART B | |
| 261QF0400X | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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