Providence Health & Services Mt

NPI #1053613356 in Stevensville, Montana

Provider Information

NPI Number
1053613356
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
Nov 19, 2010
Last Updated
May 6, 2025

Practice Location

Address
715 MAIN STREET
Address 2
STE A
State
Montana
ZIP Code
59870-2861
Phone
(406) 777-5522

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
General Acute Care Hospital

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