| NPI | 1629557426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL RUDE President 406-655-1883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-08-16 |