Provider Demographics
NPI:1962566562
Name:BILLINGS CLINIC
Entity type:Organization
Organization Name:BILLINGS CLINIC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:ROSSIE
Authorized Official - Last Name:QUINONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-435-6445
Mailing Address - Street 1:PO BOX 31392
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59107-1392
Mailing Address - Country:US
Mailing Address - Phone:406-657-4999
Mailing Address - Fax:406-657-4998
Practice Address - Street 1:1050 S 25TH ST W
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-7417
Practice Address - Country:US
Practice Address - Phone:406-657-4999
Practice Address - Fax:406-657-4998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT81968OtherBCBS
MT561912Medicaid
MT81968OtherBCBS