| NPI | 1386700763 |
|---|---|
| Doing Business As | DBA COMMUNITY CLINIC |
| Entity Type | Organization |
| Authorized Contact | SELENA R NELSON CFO 406-778-5103 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC0050X Clinic/Center, Critical Access Hospital (Licence: MT 10662) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-10-09 |