| NPI | 1871881904 |
|---|---|
| Doing Business As | PHC POVERELLO |
| Entity Type | Organization |
| Authorized Contact | LAURIE FRANCIS Execurive Director 406-258-3360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2019-12-16 |