NPI | 1205801172 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN POOLE Clinic Manager 406-748-3600 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-02-22 |
Last Update Date | 2023-12-26 |