NPI | 1407215684 |
---|---|
Doing Business As | TRIBAL HEALTH |
Entity Type | Organization |
Authorized Contact | THOMAS LYLE RUTHERFORD Credentialing 406-845-6284 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 344600000X Taxi |
Enumeration Date | 2016-02-17 |
Last Update Date | 2024-07-19 |