NPI | 1740390756 |
---|---|
Entity Type | Organization |
Authorized Contact | JILL-MARIE STEELEY CEO 406-500-2050 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2006-08-30 |
Last Update Date | 2022-11-07 |