FULLER FAMILY MEDICINE, PC – NPI #1063700722
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

FULLER FAMILY MEDICINE, PC is an AHC clinic located in BILLINGS, MT. NPPES has assigned the NPI number 1063700722 to FULLER FAMILY MEDICINE, PC on July 15, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was last updated on Dec 05, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FULLER FAMILY MEDICINE, PC below.

NPI Profile for
FULLER FAMILY MEDICINE, PC

NPI Number
1063700722
Enumeration Date

(about 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FULLER FAMILY MEDICINE, PC
Primary location
4045 AVENUE B
BILLINGS, MT 59106
Phone: (713) 256-1801 Fax: (832) 413-5904
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RETHA REEVES
ADMINISTRATOR
Phone: (713) 256-1801
Updated
Certification Date
Dec 05, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)
207R00000X
- Internal Medicine
MT 10392

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.