Providence St Joseph Medical Center

NPI #1285796920 in Polson, Montana

Provider Information

NPI Number
1285796920
Entity Type
Organization
Organization Name
Providence St Joseph Medical Center
Subpart
Yes (part of a larger organization)
Parent Organization
PROVIDENCE HEALTH & SERVICES
Primary Specialty
Assisted Living Facility
Enumeration Date
Dec 15, 2006
Last Updated
Apr 5, 2025

Practice Location

Address
11 17TH AVE E
City
Polson
State
Montana
ZIP Code
59860-4083
Phone
(406) 883-1011

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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