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DSH270004 BILLINGS CLINIC (Active)
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Main Details
Name
BILLINGS CLINIC
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH270004
Medicare Provider Number
270004
Additional Details
Current Program Status
Active
Registration Date
10/15/2015
Participating Start Date
1/1/2016
Participating Approval Date
11/18/2015
Last Recertification Date
8/20/2024
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
2800 TENTH AVENUE NORTH
BILLINGS, MT 59101
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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11/18/15 previously participating as RRC270004-00 from 1/1/12 until DSH start date of 1/1/16
11/18/2015
11/4/15 previously participating as RRC270004-00 from 1/1/12 until DSH start date of 1/1/16
11/04/2015
April 2025
April 2025
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