| NPI | 1013623248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN CHALMERS CFO 406-258-4445 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2023-01-31 |