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
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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