| NPI | 1992974497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN KROGMAN Office Manager 406-586-9735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MT 8323) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-02-28 |