Provider Demographics
NPI:1093348641
Name:THE FOOT CARE CENTER LLC
Entity Type:Organization
Organization Name:THE FOOT CARE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCLAWS
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:406-252-5444
Mailing Address - Street 1:513 HILLTOP RD STE 2
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59105-2375
Mailing Address - Country:US
Mailing Address - Phone:406-252-5444
Mailing Address - Fax:
Practice Address - Street 1:513 HILLTOP RD
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59105-2375
Practice Address - Country:US
Practice Address - Phone:406-252-5444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE FOOT CARE CENTER LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-02-21
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies