| NPI | 1912948407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE LOVELESS President/CEO Montana Region 406-237-3071 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MT 13258) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: MT 9717) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2017-12-21 |