Organization
BILLINGS CLINIC
Active
Parent organization
BILLINGS CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BILLINGS CLINIC
Authorized official
KATHLEEN ROSSIE QUINONES (CFO)
(406) 435-6445
Entity
Organization
Contact information
Practice address
1401 W 5TH ST, SHERIDAN, WY 82801-2705
(406) 657-4000
Mailing address
PO BOX 37000, BILLINGS, MT 59107-7000
(406) 657-4000
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00032
BCBS
MT
01
—
0730314
MDCD PIN
MT
05
—
105693003
—
WY
Enumeration date
12/28/2006
Last updated
01/31/2023
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