| Big Sky Locums Provider Pc | |
|
900 S 24th St W Ste 5 Billings MT 59102-6473 | |
| (406) 839-5985 | |
| Not Available |
| Full Name | Big Sky Locums Provider Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 900 S 24th St W Ste 5, Billings, Montana |
| Authorized Official Name and Position | Jimmy Lee Gray (CEO/OWNER) |
| Authorized Official Contact | 4066949788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Sky Locums Provider Pc 4865 Blue Spruce Cir Billings MT 59106-3351 Ph: (406) 839-5985 | Big Sky Locums Provider Pc 900 S 24th St W Ste 5 Billings MT 59102-6473 Ph: (406) 839-5985 |
| NPI Number | 1972256337 |
|---|---|
| Provider Enumeration Date | 01/26/2022 |
| Last Update Date | 01/26/2022 |
| Medicare PECOS PAC ID | 8628459930 |
|---|---|
| Medicare Enrollment ID | O20220718003664 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972256337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Jimmy Gray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437191699 PECOS PAC ID: 6204893480 Enrollment ID: I20041220000587 |
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