Provider Demographics
NPI:1770240137
Name:406 ARTHRITIS CLINIC LLC
Entity Type:Organization
Organization Name:406 ARTHRITIS CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:DONAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:406-850-0893
Mailing Address - Street 1:2409 ARNOLD LN STE 9
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-3885
Mailing Address - Country:US
Mailing Address - Phone:406-345-5314
Mailing Address - Fax:747-205-0742
Practice Address - Street 1:2409 ARNOLD LN STE 9
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-3885
Practice Address - Country:US
Practice Address - Phone:406-850-0893
Practice Address - Fax:747-205-0742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-19
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center