Providence Health & Services Mt

NPI #1023032588 in Missoula, Montana

Provider Information

NPI Number
1023032588
Entity Type
Organization
Organization Name
Providence Health & Services Mt
Subpart
Yes (part of a larger organization)
Parent Organization
PROVIDENCE HEALTH & SERVICES
Primary Specialty
General Acute Care Hospital
Enumeration Date
Jul 27, 2006
Last Updated
May 6, 2025

Practice Location

Address
500 W BROADWAY ST
State
Montana
ZIP Code
59802-4008
Phone
(406) 543-7271

Authorized Official

Name
MR. DONALD WAYNE ANDERSON JR.
Title
ASSISTANT SECRETARY ENROLLMENTS
Phone
(425) 358-9786

Specialties & Taxonomy Codes

Specialty
General Acute Care Hospital

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