| NPI | 1841219698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNA ZIER Chief Financial Officer 406-247-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2024-02-12 |