NPI | 1215436092 |
---|---|
Doing Business As | RIVERSTONE HEALTH |
Entity Type | Organization |
Authorized Contact | JANET M KELLY Credentialing COO Rdinator 406-651-6436 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2018-02-07 |
Last Update Date | 2018-02-07 |