Covered Entity Details

DSH270004BT BILLINGS CLINIC (Approved) - information as of 5/17/2025 10:43:18 PM

Main Details

Name

BILLINGS CLINIC

Subdivision Name

BOZEMAN OCCUPATIONAL MEDICINE - OCCUPATIONAL MEDICINE

Type

Disproportionate Share Hospital

Rural

Yes

340B ID

DSH270004BT

Medicare Provider Number

270004

Outpatient Facility Provider Number

Additional Details

Current Program Status

Approved

Registration Date

4/15/2025

Participating Start Date

7/1/2025

Participating Approval Date

4/30/2025

Last Recertification Date

Contacts

Authorizing Official

Billings Clinic
Chad W Miller, Vice President Clinic Operations
(406) 657-4603

Primary Contact

Billings Clinic
Mark Leslie Heide, 340B Program Analyst
(406) 657-4097

Addresses

Street Address

3905 Wellness Way
Bozeman, MT 59718

Billing Address

Billings Clinic
2800 10th Ave N
Billings, MT 59101

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
No

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
DSH270004A	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / CENTER FOR BREAST HEALTH	801 North 29th Street	Billings	MT	Active
DSH270004AA	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / NEPHROLOGY	801 North 29th Street	Billings	MT	Active
DSH270004AB	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / NEONATOLOGY	801 North 29th Street	Billings	MT	Active
DSH270004AC	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / INTERNAL MEDICINE	801 North 29th Street	Billings	MT	Active
DSH270004AD	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / INFECTIOUS DISEASE	801 North 29th Street	Billings	MT	Active
DSH270004AE	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / HOSPITALIST	801 North 29th Street	Billings	MT	Active
DSH270004AF	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / GYN/ONCOLOGY	801 North 29th Street	Billings	MT	Active
DSH270004AG	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / GENERAL SURGERY	801 North 29th Street	Billings	MT	Active
DSH270004AH	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / GASTROENTEROLOGY	801 North 29th Street	Billings	MT	Active
DSH270004AJ	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / FACIAL PLASTICS	801 North 29th Street	Billings	MT	Active
DSH270004AK	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / ENT	801 North 29th Street	Billings	MT	Active
DSH270004AL	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / DERMATOLOGY	801 North 29th Street	Billings	MT	Active
DSH270004AM	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / CARDIAC SURGERY	801 North 29th Street	Billings	MT	Active
DSH270004AN	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / CARDIOLOGY	801 North 29th Street	Billings	MT	Active
DSH270004AP	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / ALLERGY	801 North 29th Street	Billings	MT	Terminated
DSH270004AQ	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / GERIATRIC SERVICES	801 North 29th Street	Billings	MT	Active
DSH270004AR	Child	DSH	BILLINGS CLINIC	BILLINGS CLINIC ORTHOPEDICS AND SPORTS MEDICINE	2702 8th Avenue North	Billings	MT	Active
DSH270004AS	Child	DSH	BILLINGS CLINIC	DIABETES AND ENDOCRINOLOGY	1045 North 30th Street	Billings	MT	Active
DSH270004AT	Child	DSH	BILLINGS CLINIC	27th ST MEDICAL BUILDING / OCCUPATIONAL MEDICINE	1020 North 27th St	Billings	MT	Active
DSH270004AU	Child	DSH	BILLINGS CLINIC	27th ST MEDICAL BUILDING / BEHAVIORAL HEALTH CLINIC	1020 North 27th St	Billings	MT	Active
DSH270004AV	Child	DSH	BILLINGS CLINIC	BILLINGS CLINIC HEIGHTS	760 Wicks Lane	BILLINGS	MT	Active
DSH270004AW	Child	DSH	BILLINGS CLINIC	BILLINGS CLINIC SURGERY CENTER	2929 10th Avenue North	Billings	MT	Active
DSH270004AX	Child	DSH	BILLINGS CLINIC	BILLINGS CLINIC WEST END	2675 Central Avenue	Billings	MT	Active
DSH270004AY	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / INFUSION CENTER	801 North 29th Street	Billings	MT	Active
DSH270004AZ	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / RADIATION ONCOLOGY	801 North 29th Street	Billings	MT	Active
DSH270004B	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / RADIOLOGY-DIAGNOSTIC	801 North 29th Street	Billings	MT	Active
DSH270004BA	Child	DSH	BILLINGS CLINIC	PSYCHIATRIC CENTER / YOUTH PARTIAL HOSPITALIZ PROG	2950 10th Ave North	Billings	MT	Active
DSH270004BB	Child	DSH	BILLINGS CLINIC	PSYCHIATRIC CENTER / PSYCH STABILIZATION UNIT	2950 10th Ave North	Billings	MT	Active
DSH270004BC	Child	DSH	BILLINGS CLINIC	PSYCHIATRIC CENTER / PSYCHIATRIC HOSPITALIST	2950 10th Ave North	Billings	MT	Active
DSH270004BD	Child	DSH	BILLINGS CLINIC	Miles City - Clinic	620 S Haynes Ave	Miles City	MT	Active
DSH270004BE	Child	DSH	BILLINGS CLINIC	BOZEMAN FAMILY PRACTICE - FAMILY PRACTICE	3905 Wellness Way	Bozeman	MT	Approved
DSH270004BF	Child	DSH	BILLINGS CLINIC	BOZEMAN OB/GYN (WELLNESS WAY) - OB/GYN	3905 Wellness Way	Bozeman	MT	Approved
DSH270004BG	Child	DSH	BILLINGS CLINIC	BOZEMAN INTERNAL MEDICINE - INTERNAL MEDICINE	3905 Wellness Way	Bozeman	MT	Approved
DSH270004BH	Child	DSH	BILLINGS CLINIC	BOZEMAN ENT - EAR NOSE & THROAT	3905 Wellness Way	Bozeman	MT	Approved
DSH270004BJ	Child	DSH	BILLINGS CLINIC	BOZEMAN ORTHOPEDICS - ORTHOPEDICS	3905 Wellness Way	Bozeman	MT	Approved
DSH270004BK	Child	DSH	BILLINGS CLINIC	BOZEMAN CARDIOLOGY - CARDIOLOGY	3905 Wellness Way	Bozeman	MT	Approved
DSH270004BL	Child	DSH	BILLINGS CLINIC	BOZEMAN MEDICAL ONCOLOGY - MEDICAL ONCOLOGY	3905 Wellness Way	Bozeman	MT	Approved
DSH270004BM	Child	DSH	BILLINGS CLINIC	BOZEMAN PULMONARY - PULMONARY	3905 Wellness Way	Bozeman	MT	Approved
DSH270004BN	Child	DSH	BILLINGS CLINIC	BOZEMAN RADIOLOGY PHYSICIANS - RADIOLOGY PHYSICIANS	3905 Wellness Way	Bozeman	MT	Approved
DSH270004BP	Child	DSH	BILLINGS CLINIC	BOZEMAN UROLOGY - UROLOGY	3905 Wellness Way	Bozeman	MT	Approved
DSH270004BQ	Child	DSH	BILLINGS CLINIC	BOZEMAN GASTROENTEROLOGY - GASTROENTEROLOGY	3905 Wellness Way	Bozeman	MT	Approved
DSH270004BR	Child	DSH	BILLINGS CLINIC	BOZEMAN INFUSION CENTER - INFUSION CENTER	3905 Wellness Way	Bozeman	MT	Approved
DSH270004BS	Child	DSH	BILLINGS CLINIC	BOZEMAN PEDIATRICS - PEDIATRICS	3905 Wellness Way	Bozeman	MT	Approved
DSH270004BT	Child	DSH	BILLINGS CLINIC	BOZEMAN OCCUPATIONAL MEDICINE - OCCUPATIONAL MEDICINE	3905 Wellness Way	Bozeman	MT	Approved
DSH270004BU	Child	DSH	BILLINGS CLINIC	BOZEMAN PEDIATRIC SPECIALTY - PEDIATRIC SPECIALTY	3905 Wellness Way	Bozeman	MT	Approved
DSH270004BV	Child	DSH	BILLINGS CLINIC	BOZEMAN RADIOLOGY - RADIOLOGY	3905 Wellness Way	Bozeman	MT	Approved
DSH270004C	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / SLEEP CENTER	801 North 29th Street	Billings	MT	Active
DSH270004D	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / ECHO	801 North 29th Street	Billings	MT	Active
DSH270004E	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / PULMONARY CENTER	801 North 29th Street	Billings	MT	Active
DSH270004F	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / WOUND AND OSTOMY	801 North 29th Street	Billings	MT	Active
DSH270004G	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / AMBULATORY PHARMACY SERVICES	801 North 29th Street	Billings	MT	Active
DSH270004H	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / WOUND CARE CLINIC	801 North 29th Street	Billings	MT	Active
DSH270004J	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / INTEGRATIVE MEDICINE	801 North 29th Street	Billings	MT	Active
DSH270004K	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / ANTICOAGULATION CLINIC	801 North 29th Street	Billings	MT	Active
DSH270004L	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / UROLOGY	801 North 29th Street	Billings	MT	Active
DSH270004M	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / SAMEDAY CARE	801 North 29th Street	Billings	MT	Active
DSH270004N	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / RHEUMATOLOGY	801 North 29th Street	Billings	MT	Active
DSH270004P	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / CLINIC PULMONARY	801 North 29th Street	Billings	MT	Active
DSH270004Q	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / PHYSICAL MEDICINE & REHAB	801 North 29th Street	Billings	MT	Active
DSH270004R	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / PODIATRY	801 North 29th Street	Billings	MT	Active
DSH270004S	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / OPHTHALMOLOGY	801 North 29th Street	Billings	MT	Active
DSH270004T	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / MEDICAL ONCOLOGY	801 North 29th Street	Billings	MT	Active
DSH270004U	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / INVITROFERTILIZATION	801 North 29th Street	Billings	MT	Terminated
DSH270004V	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / OB/GYN	801 North 29th Street	Billings	MT	Active
DSH270004W	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / MATERNAL FETAL MEDICINE	801 North 29th Street	Billings	MT	Active
DSh270004X	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / REPROD ENDOCRINOLOGY & INFERT	801 North 29th Street	Billings	MT	Terminated
DSH270004Y	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / NEUROSURGERY	801 North 29th Street	Billings	MT	Active
DSH270004Z	Child	DSH	BILLINGS CLINIC	DOWNTOWN CLINIC / NEUROLOGY	801 North 29th Street	Billings	MT	Active

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Signed By	Insert	New Registration		Miller, Chad W Vice President Clinic Operations Billings Clinic 4066574603	4/30/2025 12:30 PM
Details	340B ID	Update	New Registration		DSH270004BT	4/30/2025 12:30 PM
Details	Entity Subname	Update	New Registration	BOZEMAN OCCUPATIONAL MEDICINE	BOZEMAN OCCUPATIONAL MEDICINE - OCCUPATIONAL MEDICINE	4/30/2025 12:30 PM
Dates	Participating Approval Date	Update	New Registration		4/30/2025 12:30:13 PM	4/30/2025 12:30 PM
Details	State	Update	New Registration	Pending	Approved	4/30/2025 12:30 PM
Dates	Signed By Date	Update	New Registration		4/29/2025 8:58:05 PM	4/30/2025 12:30 PM
Dates	Start Date	Update	New Registration		7/1/2025 12:00:00 AM	4/30/2025 12:30 PM
Addresses	Billing Address	Insert	New Registration		Billings Clinic 2800 10th Ave N Billings, MT 59101	4/15/2025 2:27 PM
Addresses	Main Address	Insert	New Registration		3905 Wellness Way Bozeman, MT 59718	4/15/2025 1:25 PM
Addresses	Billing Address	Insert	New Registration		Billings Clinic 2800 10th Ave N Billings, MT 59101	4/15/2025 1:25 PM
Contacts	Primary Contact	Insert	New Registration		Heide, Mark Leslie 340B Program Analyst Billings Clinic 4066574097	4/15/2025 1:25 PM
Contacts	Authorizing Official	Insert	New Registration		Miller, Chad W Vice President Clinic Operations Billings Clinic 4066574603	4/15/2025 1:25 PM
Details	Assistance Received From Date	Insert	New Registration			4/15/2025 1:25 PM
Details	Assistance Received To Date	Insert	New Registration			4/15/2025 1:25 PM
Details	Last Recertification Date	Insert	New Registration			4/15/2025 1:25 PM
Details	Grant Number	Insert	New Registration			4/15/2025 1:25 PM
Details	340B ID	Insert	New Registration			4/15/2025 1:25 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			4/15/2025 1:25 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			4/15/2025 1:25 PM
Details	Medicare Provider Number	Insert	New Registration		270004	4/15/2025 1:25 PM
Details	Entity Name	Insert	New Registration		BILLINGS CLINIC	4/15/2025 1:25 PM
Details	NOFO Number	Insert	New Registration			4/15/2025 1:25 PM
Details	Program Code	Insert	New Registration		DSH	4/15/2025 1:25 PM
Details	Entity Subname	Insert	New Registration		BOZEMAN OCCUPATIONAL MEDICINE	4/15/2025 1:25 PM
Dates	Participating Approval Date	Insert	New Registration			4/15/2025 1:25 PM
Details	State	Insert	New Registration		Pending	4/15/2025 1:25 PM
Dates	Registration Date	Insert	New Registration		4/15/2025 1:25:17 PM	4/15/2025 1:25 PM
Dates	Signed By Date	Insert	New Registration			4/15/2025 1:25 PM
Dates	Start Date	Insert	New Registration			4/15/2025 1:25 PM
Terminations	Termination Comments	Insert	New Registration			4/15/2025 1:25 PM
Terminations	Termination Date	Insert	New Registration			4/15/2025 1:25 PM
Terminations	Termination Effective Date	Insert	New Registration			4/15/2025 1:25 PM
Terminations	Termination Reason	Insert	New Registration			4/15/2025 1:25 PM