NPI: 1649663923
Provider Name: ALL NATIONS HEALTH CENTER, INC.
Former Legal Business Name: MISSOULA INDIAN CENTER, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization
Specialization: Federally Qualified Health Center (FQHC)
CLIA Number: 27D1066579
Address:
830 W CENTRAL AVE
MISSOULA, MT
ZIP 59801
Phone: (406) 829-9515
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ALL NATIONS HEALTH CENTER, INC. is a federally qualified health center (fqhc) clinic center in Missoula, MT. ALL NATIONS HEALTH CENTER, INC. NPI is 1649663923. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Missoula Indian Center, Inc..
The provider's business location address is:
830 W CENTRAL AVE
MISSOULA, MT
ZIP 59801-931
Phone: (406) 829-9515
Fax: (406) 829-9519
The provider's authorized official is Azure Mcginty .
The authorized official title is Executive Director and has the following contact phone number (406) 829-9515.
The CLIA number assigned to this NPI record is 27D1066579 - federally qualified health center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/11/2015 and was last updated on 10/30/2023.