Yellowstone Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

YELLOWSTONE SURGERY CENTER LLC

Doing business as

Yellowstone Surgery Center West

Practice address

1739 Spring Creek Dr
Billings, MT 59102-6747

Phone

(406) 237-5900

Fax

(406) 237-5910

NPI assigned

Apr 21, 2016

Organization subpart

Yes

Parent organization

YELLOWSTONE SURGERY CENTER LLCAs reported in NPPES

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

Authorized official

Name

Robert Gagnon

Title

Executive Director

Phone

(406) 237-5900

Specialties & licenses 1

Addresses

Other names 1

• Yellowstone Surgery Center West Doing business as

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760836167. Details of each certification follow.

• CCN 270092 Hospital · Active · Name & address match · Details

Hospital certification: CCN 270092

Legal name

YELLOWSTONE SURGERY CENTER WEST

Certification status

Active

Provider type (POS)

Hospital – Short-term

Participating since

Sep 2, 2020

Last certification

Sep 2, 2020

Beds

8

Ownership / control type

Private (for profit)

Facility address

1739 Spring Creek Drive
Billings, MT 59102

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

  • Ambulatory Surgical Clinic/Center
  • Billings, MT
  • NPI 1497759955

  7719878552

  Same PAC ID

Listed as

Yellowstone Surgery Center LLC Dba Yellowstone Surgery Center WestCCN 27C0001028

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

Part of

Yellowstone Surgery Cen

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Yellowstone Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Billings, MT
  • NPI 1497759955
  NPPES parent name

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1760836167",
    "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": "1739 SPRING CREEK DR",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026747",
            "telephone_number": "406-237-5900",
            "fax_number": "406-237-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELLOWSTONE SURGERY CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YELLOWSTONE SURGERY CENTER LLC",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "GAGNON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "406-237-5900"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yellowstone Surgery Center West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Apr 21, 2016; 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.