| NPI | 1295319325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIKKI J KLEMM Office Manager/Business Operations 406-436-2651 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2021-05-05 |