Provider Demographics
NPI:1295837250
Name:THE CHILDRENS CLINIC OF BILLINGS, PC
Entity Type:Organization
Organization Name:THE CHILDRENS CLINIC OF BILLINGS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIMMERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:406-281-8750
Mailing Address - Street 1:1232 NORTH 30TH STREET, SUITE 200
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-0126
Mailing Address - Country:US
Mailing Address - Phone:406-238-6600
Mailing Address - Fax:406-238-6645
Practice Address - Street 1:3401 AVENUE E
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-6561
Practice Address - Country:US
Practice Address - Phone:406-281-8700
Practice Address - Fax:406-281-8708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-01
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty