NPI | 1225502073 |
---|---|
Doing Business As | ANACONDA CHC |
Entity Type | Organization |
Authorized Contact | SHAWNA YATES 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 | 2022-06-10 |