| NPI | 1275515157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYNE L RASMUSSEN Executive Director 406-522-1141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MT 10413) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2020-08-22 |