Providence Health & Services Mt
NPI #1558407312 in Stevensville, Montana
Provider Information
- NPI Number
- 1558407312
- Entity Type
- Organization
- Organization Name
- Providence Health & Services Mt
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PROVIDENCE HEALTH & SERVICES
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 29, 2007
- Last Updated
- May 7, 2025
Practice Location
- Address
- 715 MAIN ST
- Address 2
- SUITE A
- City
- Stevensville
- State
- Montana
- ZIP Code
- 59870-2861
- Phone
- (406) 777-5522
Authorized Official
- Name
- DONALD WAYNE ANDERSON JR.
- Title
- ASSISTANT SECRETARY ENROLLMENTS
- Phone
- (425) 358-9786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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