Provider Demographics
NPI:1518086032
Name:YELLOWSTONE CITY-COUNTY HEALTH DEPT
Entity Type:Organization
Organization Name:YELLOWSTONE CITY-COUNTY HEALTH DEPT
Other - Org Name:RIVER STONE HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:SHANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-651-6471
Mailing Address - Street 1:123 SOUTH 27TH STREET
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-4200
Mailing Address - Country:US
Mailing Address - Phone:406-247-3330
Mailing Address - Fax:406-247-3355
Practice Address - Street 1:123 SOUTH 27TH STREET
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-4200
Practice Address - Country:US
Practice Address - Phone:406-247-3330
Practice Address - Fax:406-247-3355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1055261Q00000X, 3336C0003X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0212628Medicaid
MT2706426OtherNCPDP NUMBER
2706426OtherNCPDP NUMBER
2706426OtherNCPDP NUMBER