| NPI | 1508274333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI DAWN MEUCHEL Practice Administrator 406-862-4114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |