NPI | 1003150814 |
---|---|
Doing Business As | INDIAN FAMILY HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | WESLEY L OLD COYOTE Chief Executive Officer 406-665-5569 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MT 1121) |
Enumeration Date | 2012-11-16 |
Last Update Date | 2022-03-04 |