| NPI | 1407860745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY LONGGOOD Administrator 406-327-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MT 10708) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2024-12-31 |