| NPI | 1548626872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN ABEL Chief Executive Officer 406-752-1724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: MT MED-PHYS-LIC-36235) |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2025-04-15 |