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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