| 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 |