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Contact Information

FETAL DIAGNOSTIC CENTER PC
2900 12TH AVE N STE 130W
BILLINGS, MT59101-7595
 Phone: 406-237-5888
 Fax: 406-237-5899
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for FETAL DIAGNOSTIC CENTER PC

NPI # 1306055645
LBN Legal business name FETAL DIAGNOSTIC CENTER PC
Authorized official DAVID JACKSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/22/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
MT License # 8687
MT Medicaid 0000017663
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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