| 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 |