NPI | 1659483048 |
---|---|
Doing Business As | FORT PECK TRIBAL DIALYSIS UNIT |
Entity Type | Organization |
Authorized Contact | DENNIS FOUR BEAR CEO 406-768-3491 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2006-08-31 |
Last Update Date | 2023-12-27 |