Providence St Joseph Medical Center

NPI #1669655528 in Polson, Montana

Provider Information

NPI Number: 1669655528
Entity Type: Organization
Organization Name: Providence St Joseph Medical Center
Primary Specialty: Family Medicine
Enumeration Date: Dec 13, 2007
Last Updated: Apr 5, 2025

Practice Location

Address: 6 13TH AVE E
City: Polson
State: Montana
ZIP Code: 59860-5315
Phone: (406) 883-5377

Authorized Official

Name: DONALD WAYNE ANDERSON JR.
Title: ASSISTNAT SECRETARY ENROLLMENT
Phone: (425) 359-9786

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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