340B Drug Pricing Program Database
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DSH270004BD BILLINGS CLINIC (Active)
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Main Details
Name
BILLINGS CLINIC
Subdivision Name
Miles City - Clinic
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH270004BD
Medicare Provider Number
270004
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/12/2022
Participating Start Date
1/1/2023
Participating Approval Date
11/9/2022
Last Recertification Date
8/12/2024
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
620 S Haynes Ave
Miles City, MT 59301
Billing Address
Billings Clinic
2800 10th Ave N
Billings, MT 59101
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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