| NPI | 1649663923 |
|---|---|
| Former Legal Business Name | MISSOULA INDIAN CENTER, INC. |
| Entity Type | Organization |
| Authorized Contact | AZURE MCGINTY Executive Director 406-829-9515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2023-10-30 |