Organization Name: | BILLINGS CLINIC |
NPI Number: | 1053477547 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NICHOLAS WOLTER (CEO) |
Mailing Address: | I 90 & 212 Crow Agency |
State: | MT US |
Postal Code: | 59022 |
Phone Number: | 4066574000 |
Fax Number: | |
NPI Enumeration Date: | 12/29/2006 |
NPI Last Update Date: | 03/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
Taxonomy Definition: |