Provider Demographics
NPI:1447884671
Name:BIG SKY AUDIOLOGY CLINIC, LLC.
Entity type:Organization
Organization Name:BIG SKY AUDIOLOGY CLINIC, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:R
Authorized Official - Last Name:HAYDEN
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:406-690-4119
Mailing Address - Street 1:3204 TURNBERRY CIR
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-9476
Mailing Address - Country:US
Mailing Address - Phone:406-690-4119
Mailing Address - Fax:
Practice Address - Street 1:111 S 24TH ST W UNIT 7
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-5659
Practice Address - Country:US
Practice Address - Phone:406-656-2003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-26
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty