MEDICARE: MONTANA MIGRANT AND SEASONAL FARMWORKERS COUNCIL, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

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

Provider Business Mailing Address
First Line	:	3318 3RD AVE N STE 200
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59101-1900
Country	:	US
Telephone Number	:	406-248-3149
Fax Number	:	406-245-6636

Provider Business Practice Location Address
First Line	:	9801 VALLEY GROVE DR
Second Line	:	D
City	:	LOLO
State	:	MT
Zip	:	59847-8617
Country	:	US
Telephone Number	:	406-273-4633
Fax Number	:	406-273-4707

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	CAROL TOWNSEND
Credential	:
Telephone Number	:	406-248-3149

Provider Enumeration Date	:	05/19/2014
Last Update Date	:	12/06/2018

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