Providence Health & Services Mt

NPI #1144319138 in Missoula, Montana

Provider Information

NPI Number
1144319138
Entity Type
Organization
Organization Name
Providence Health & Services Mt
Subpart
Yes (part of a larger organization)
Parent Organization
PROVIDENCE HEALTH & SERVICES
Primary Specialty
Rehabilitation Unit
Enumeration Date
Oct 11, 2006
Last Updated
May 5, 2025

Practice Location

Address
900 N ORANGE ST
State
Montana
ZIP Code
59802-2928
Phone
(406) 329-5790

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Rehabilitation Unit

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