| NPI | 1194259242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMONE M WEBB President/CEO 406-321-2708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: MT 1116) |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2017-04-16 |
| Last Update Date | 2024-12-23 |