Healthcare Provider Details

I. General information

NPI: 1679984025
Provider Name (Legal Business Name): MONTANA MIGRANT AND SEASONAL FARMWORKERS COUNCIL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2014
Last Update Date: 12/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9801 VALLEY GROVE DR D
LOLO MT
59847-8617
US

IV. Provider business mailing address

3318 3RD AVE N STE 200
BILLINGS MT
59101-1900
US

V. Phone/Fax

Practice location:
  • Phone: 406-273-4633
  • Fax: 406-273-4707
Mailing address:
  • Phone: 406-248-3149
  • Fax: 406-245-6636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: CAROL TOWNSEND
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 406-248-3149