| |
120 Jackson Street Billings MT 59101 | |
(406) 247-3200 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 120 Jackson Street, Billings, Montana |
Authorized Official Name and Position | Shanna Zier (CFO) |
Authorized Official Contact | 4062473200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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123 S 27th St Billings MT 59101-4227 Ph: (406) 247-3200 | 120 Jackson Street Billings MT 59101 Ph: (406) 247-3200 |
NPI Number | 1720587512 |
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Provider Enumeration Date | 02/07/2018 |
Last Update Date | 10/29/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720587512 | 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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