Provider Demographics
NPI:1003842535
Name:BIG SKY IMAGING CONSULTANTS, LLC
Entity Type:Organization
Organization Name:BIG SKY IMAGING CONSULTANTS, LLC
Other - Org Name:BIG SKY DIAGNOSTIC IMAGING OF BILLINGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:KEANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-237-5255
Mailing Address - Street 1:2900 12TH AVE N
Mailing Address - Street 2:SUITE 3E
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-7506
Mailing Address - Country:US
Mailing Address - Phone:406-237-5525
Mailing Address - Fax:406-237-5530
Practice Address - Street 1:2900 12TH AVE N
Practice Address - Street 2:SUITE 3E
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-7506
Practice Address - Country:US
Practice Address - Phone:406-237-5525
Practice Address - Fax:406-237-5530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-25
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0760149Medicaid
MT91266OtherBLUE CROSS BLUE SHIELD
MT0760149Medicaid