| NPI | 1437335544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL-MARIE STEELEY CEO 406-500-5020 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2021-08-18 |