| NPI | 1558430298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE GARDNER Director, Pbs & Ad MIS Sions 406-329-5790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: MT 10606) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2008-07-30 |