Provider Demographics
NPI:1235819582
Name:BAILIE MEDICAL LLC
Entity Type:Organization
Organization Name:BAILIE MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:BAILIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:406-860-8160
Mailing Address - Street 1:4793 US HIGHWAY 3
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59106-9676
Mailing Address - Country:US
Mailing Address - Phone:406-860-8160
Mailing Address - Fax:
Practice Address - Street 1:1690 RIMROCK RD STE G
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-0700
Practice Address - Country:US
Practice Address - Phone:406-860-8160
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric AnesthesiologyGroup - Single Specialty