NPI | 1528575685 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANNA ZIER Authorized Official 406-651-6471 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2018-01-10 |
Last Update Date | 2025-09-02 |