Provider Demographics
NPI:1679984025
Name:MONTANA MIGRANT AND SEASONAL FARMWORKERS COUNCIL, INC.
Entity Type:Organization
Organization Name:MONTANA MIGRANT AND SEASONAL FARMWORKERS COUNCIL, INC.
Other - Org Name:AG WORKER HEALTH & SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:TOWNSEND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-248-3149
Mailing Address - Street 1:3318 3RD AVE N STE 200
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-1900
Mailing Address - Country:US
Mailing Address - Phone:406-248-3149
Mailing Address - Fax:406-245-6636
Practice Address - Street 1:9801 VALLEY GROVE DR
Practice Address - Street 2:D
Practice Address - City:LOLO
Practice Address - State:MT
Practice Address - Zip Code:59847-8617
Practice Address - Country:US
Practice Address - Phone:406-273-4633
Practice Address - Fax:406-273-4707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-19
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)