| NPI | 1609141480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA L PURDY Clinic Director 406-755-1113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: MT 917) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2014-07-10 |