| NPI | 1225502073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY A COX Executive Director 406-496-6018 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center Community Health |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2025-08-25 |