| NPI | 1588915847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FORREST EHLINGER Chief Financial Officer 406-455-5479 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2021-04-27 |