BILLINGS CLINIC (NPI# 1609932383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609932383 |
| Entity Type | Organization |
| Organization Name | BILLINGS CLINIC |
| Practice Address |
1401 W 5th St Sheridan WY 82801-2705 |
| Mailing Address |
Po Box 37000 Billings MT 59107-7000 |
| Practice Telephone | 4066574000 |
| Mailing Telephone | 4066574000 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2018-09-28 |
| Authorized Official Name | CONNIE PREWITT (CFO) |
| Authorized Official Telephone | 4062382500 |
| Is Organization Subpart | Y |
| Parent Organization Name | BILLINGS CLINIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | MDCD PIN | 0730314 | 01 |
| WY | 105693003 | 05 | |
| MT | BCBS | 00032 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740630268 | Billings Clinic | Occupational Therapist | 3838 Avenue B, Ste 2, Billings, MT 59102-7550 | 2016-06-15 |
| 1316225071 | Billings Clinic | Physical Therapist | 5000 Southgate Dr, Billings, MT 59101-4614 | 2011-07-29 |
| 1003194929 | Billings Clinic | Physical Therapist | 3012 Stower St, Suite D, Miles City, MT 59301-5782 | 2011-07-26 |
| 1245397041 | Billings Clinic | Internal Medicine | 1305 15th Avenue W, Williston, ND 58801 | 2007-01-02 |
| 1053477547 | Billings Clinic | Clinic/Center | I 90 & 212, Crow Agency, MT 59022 | 2006-12-29 |
| 1033275557 | Billings Clinic | Assisted Living Facility | 3155 Avenue C, Billings, MT 59102-8109 | 2006-12-29 |
| 1962566562 | Billings Clinic | Durable Medical Equipment & Medical Supplies | 801 N 27th St, Billings, MT 59101-1117 | 2006-12-20 |
| 1356385975 | Billings Clinic | Family Medicine | 10 S Oakes Ave, Red Lodge, MT 59068 | 2006-06-15 |
| 1043259484 | Billings Clinic | Family Medicine | 710 North 11th Street, Columbus, MT 59019-7215 | 2006-06-04 |
| 1346288347 | Billings Clinic | Internal Medicine | 201 Yellowstone Ave, Cody, WY 82414-9313 | 2006-06-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BILLINGS CLINIC | 2800 10th Ave N, Billings, MT 59101-0703 |
| Street Address |
1401 W 5TH ST |
| City | SHERIDAN |
| State | WY |
| Zip Code | 82801-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235134438 | Daniel Robert Alzheimer | Radiology | 1401 W 5th St, Sheridan, WY 82801-2705 | 2005-06-15 |
| 1437621729 | Clay Smith Md PC | Emergency Medicine | 1401 W 5th St, Sheridan, WY 82801-2705 | 2018-12-26 |
| 1710419445 | Big Horn Anesthesia Associates LLC | Anesthesiology | 1401 W 5th St, Sheridan, WY 82801-2705 | 2017-03-31 |
| 1114396892 | Laci Little | Nurse Practitioner | 1401 W 5th St, Sheridan, WY 82801-2705 | 2015-09-23 |
| 1730562372 | Watt Dialysis Center LLC | Clinic/Center | 1401 W 5th St, Sheridan, WY 82801-2705 | 2015-07-01 |
| 1003294224 | Rocky Mountain Holdings, LLC | Ambulance | 1401 W 5th St, Sheridan, WY 82801-2705 | 2015-05-07 |
| 1336539857 | Kelly Ann Thomas | Nurse Practitioner | 1401 W 5th St, Sheridan, WY 82801-2705 | 2015-02-04 |
| 1356744890 | Kenneth Chandler Mckenzie | Physician Assistant | 1401 W 5th St, Sheridan, WY 82801-2705 | 2014-09-29 |
| 1407265515 | Amanda Mcintire | Clinical Nurse Specialist | 1401 W 5th St, Sheridan, WY 82801-2705 | 2014-08-04 |
| 1720499163 | Erik Charles Smith | Emergency Medicine | 1401 W 5th St, Sheridan, WY 82801-2705 | 2014-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891320172 | Sarah Coulter | Physician Assistant | 1401 W 5th Street, Attention Medical Services Staff, Sheridan, WY 82801 | 2020-03-07 |
| 1013552082 | Bonnie Bowman Schlesselman | Occupational Therapy Assistant | 1851 Big Horn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-13 |
| 1790320976 | Jory Lee Turk | Physical Therapy Assistant | 1851 Bighorn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-12 |
| 1356901532 | Kelsi Marie Martinez | Speech-Language Pathologist | 376 W Brundage St, Sheridan, WY 82801 | 2019-06-19 |
| 1841760410 | Christopher Michael Evans | Peer Specialist | 1221 W 5th Street, Sheridan, WY 82801 | 2018-11-27 |
| 1922582402 | Wyoming Eye Surgeons | Ophthalmology | 36 N. Gould St., Suite 2a, Sheridan, WY 82801 | 2018-09-20 |
| 1700368164 | Ashly Rose Garretson | Case Manager/Care Coordinator | 616 W 10th, Sheridan, WY 82801 | 2018-09-02 |
| 1053805382 | Sheridan Peak Wellness | Nutritionist | 740 S. Thurmond St., Sheridan, WY 82801 | 2018-06-20 |
| 1275040636 | Amber Van Dyke | Case Management | 757 Hwy 14 E, Sheridan, WY 82801 | 2018-01-08 |
| 1689103046 | Laura L Burrell | Case Manager/Care Coordinator | 151 W Brundage Street, Sheridan, WY 82801 | 2017-06-08 |
| Find all providers in zip 82801 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730562372 | Watt Dialysis Center LLC | Clinic/Center | 1401 W 5th St, Sheridan, WY 82801-2705 | 2015-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306392261 | Usrc Casper, LLC | Clinic/Center | 1300 Venture Way, Suite 100, Casper, WY 82609-4353 | 2016-08-31 |
| 1790824530 | Shoshone Tribe | Clinic/Center | 11 Shipton Lane, Fort Washakie, WY 82514 | 2007-02-06 |
| 1952413759 | Bio-medical Applications of Wyoming LLC | Clinic/Center | 1739 Meadowland Drive, Cheyenne, WY 82009-5249 | 2006-08-31 |
| 1255304051 | Evanston Hospital Corporation | Clinic/Center | 112 Yellow Creek Rd, Evanston, WY 82930-9266 | 2006-02-10 |
| 1508837865 | Wyoming Kidney Center, LLC | Clinic/Center | 1141 Wilkins Cir, Casper, WY 82601-1332 | 2006-01-26 |
| 1669818969 | Big Horn Basin Regional Dialysis Center LLC | Clinic/Center | 424 Yellowstone Ave, Suite 150, Cody, WY 82414-9309 | 2013-05-14 |
| 1295815744 | West Park Hospital District | Clinic/Center | 707 Sheridan Ave, Cody, WY 82414-3409 | 2006-10-17 |
| 1144313255 | Campbell County Hospital District | Clinic/Center | 501 S Burma Ave, Gillette, WY 82716-3426 | 2006-10-02 |
Please comment or provide details below to improve the information on BILLINGS CLINIC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.