| NPI | 1437196243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARA SALAZAR Chief Executive Officer 406-258-3360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 122300000X Dentist |
| 163W00000X Registered Nurse | |
| 183500000X Pharmacist | |
| 207Q00000X Family Medicine | |
| 333600000X Pharmacy | |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2024-06-25 |