NPI | 1699716142 |
---|---|
Doing Business As | GOLD ADVANTAGE |
Entity Type | Organization |
Authorized Contact | JACK E. BELL Executive Vice President/COO 406-237-3061 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MT 9717) |
Enumeration Date | 2006-06-08 |
Last Update Date | 2020-08-22 |