1962584508 NPI number — BILLINGS MRI CENTER, LLC.

Table of content: (NPI 1962584508)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962584508 NPI number — BILLINGS MRI CENTER, LLC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BILLINGS MRI CENTER, LLC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1962584508
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/24/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1041 N 29TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BILLINGS
Provider Business Mailing Address State Name:
MT
Provider Business Mailing Address Postal Code:
59101-0700
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
406-255-6530
Provider Business Mailing Address Fax Number:
406-247-1087

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1041 N 29TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BILLINGS
Provider Business Practice Location Address State Name:
MT
Provider Business Practice Location Address Postal Code:
59101-0700
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
406-255-6530
Provider Business Practice Location Address Fax Number:
406-247-1087
Provider Enumeration Date:
10/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BROSWICK
Authorized Official First Name:
BRUCE
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
406-237-0455

Provider Taxonomy Codes

  • Taxonomy code: 261QM1200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0078286 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0078299 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".




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