Healthcare Provider Details

I. General information

NPI: 1558735308
Provider Name (Legal Business Name): MONTANA MIGRANT AND SEASONAL FARMWORKERS COUNCIL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2015
Last Update Date: 02/27/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 WEST 6TH STREET
POWELL WY
82435-1809
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 307-754-6350
  • Fax: 307-754-6363
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: VICKI THUESEN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 406-248-3149