NPI | 1326336454 |
---|---|
Doing Business As | PHC CREAMERY |
Entity Type | Organization |
Authorized Contact | LAURIE FRANCIS Executive Director 406-258-3360 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
261QM0801X | |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2011-07-11 |
Last Update Date | 2019-12-16 |