Organization
CONFEDERATED SALISH AND KOOTENAI TRIBES OF THE FLATHEAD RESERVATION
Active
Organization
CONFEDERATED SALISH AND KOOTENAI TRIBES OF THE FLATHEAD RESERVATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH DURGLO (CHAIRMAN)
(406) 675-2700
Entity
Organization
Contact information
Practice address
35401 MISSION DRIVE, SAINT IGNATIUS, MT 59865-9676
(406) 745-3525
(406) 745-4721
Mailing address
PO BOX 278, PABLO, MT 59855-0278
(406) 675-2700
(406) 275-2806
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2210104
—
MT
01
—
2706438
NCPDP
—
Enumeration date
09/26/2006
Last updated
01/08/2024
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