Provider Demographics
NPI: | 1528575685 |
---|---|
Name: | YELLOWSTONE CITY-COUNTY HEALTH DEPARTMENT |
Entity type: | Organization |
Organization Name: | YELLOWSTONE CITY-COUNTY HEALTH DEPARTMENT |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | AUTHORIZED OFFICIAL |
Authorized Official - Prefix: | |
Authorized Official - First Name: | SHANNA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | ZIER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 406-651-6471 |
Mailing Address - Street 1: | 123 S 27TH ST |
Mailing Address - Street 2: | |
Mailing Address - City: | BILLINGS |
Mailing Address - State: | MT |
Mailing Address - Zip Code: | 59101-4227 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 2424 1ST AVE N |
Practice Address - Street 2: | |
Practice Address - City: | BILLINGS |
Practice Address - State: | MT |
Practice Address - Zip Code: | 59101-2317 |
Practice Address - Country: | US |
Practice Address - Phone: | 406-651-6560 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | YELLOWSTONE CITY COUNTY HEALTH DEPARTMENT |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2018-01-10 |
Last Update Date: | 2025-05-08 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QF0400X | Ambulatory Health Care Facilities | Clinic/Center | Federally Qualified Health Center (FQHC) |