Yellowstone Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

9728 Issued in MT

Legal business name

YELLOWSTONE SURGERY CENTER, LLC

Practice address

1144 N 28TH St
Billings, MT 59101-0110

Phone

(406) 237-5900

Fax

(406) 237-5910

NPI assigned

Jun 10, 2005

Last updated

Oct 8, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Robert Gagnon

Title

Executive Director

Phone

(406) 237-5905

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497759955. Details of each certification follow.

• CCN 270091 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 270091

Legal name

YELLOWSTONE SURGERY CENTER LLC

Certification status

Terminated Voluntary: other reason for withdrawal, May 11, 2023

Provider type (POS)

Hospital – Short-term

Participating since

Sep 2, 2020

Last certification

Sep 2, 2020

Beds

6

Ownership / control type

Private (for profit)

Facility address

1144 N 28TH Street
Billings, MT 59101

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Yellowstone Surgery Center LLC

  dba Yellowstone Surgery Center West

  • Ambulatory Surgical Clinic/Center
  • Billings, MT
  • NPI 1760836167

  7719878552

  Same PAC ID

Listed as

Yellowstone Surgery Center LLCCCN 27C0001020

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Yellowstone Surgery Center LLC

  dba Yellowstone Surgery Center West

  • Ambulatory Surgical Clinic/Center
  • Billings, MT
  • NPI 1760836167
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349654400000",
    "number": "1497759955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31715",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591071715",
            "telephone_number": "406-237-5900",
            "fax_number": "406-237-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 N 28TH ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591010110",
            "telephone_number": "406-237-5900",
            "fax_number": "406-237-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELLOWSTONE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2012-10-08",
        "status": "A",
        "authorized_official_last_name": "GAGNON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "406-237-5905",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MT",
            "license": "9728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0351305",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1180258 00",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yellowstone Naturopathic Clinic P C
• Yellowstone Nursing and Rehab Center LLC
• Yellowstone Pathologists, PC
• Yellowstone Pathology Institute, Inc.
• Yellowstone Surgery Center LLC (Yellowstone Surgery Center West)
• Yellowstone Therapy Center LLC
• Yellowstone Urology, PLLC
• Yellowstone Valley Behavioral Health, PC
• Yellowstone Valley Behavioral Health, PC
• David Yelvington, MD

• Ambulatory Surgical Clinic/Center in Billings, MT
• Providers in Billings, MT by specialty
• Ambulatory Surgical Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.