Providence Health & Services Mt

NPI #1770815276 in Missoula, Montana

Provider Information

NPI Number
1770815276
Entity Type
Organization
Organization Name
Providence Health & Services Mt
Subpart
Yes (part of a larger organization)
Parent Organization
PROVIDENCE HEALTH & SERVICES
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Feb 8, 2010
Last Updated
May 7, 2025

Practice Location

Address
500 W BROADWAY ST
State
Montana
ZIP Code
59802-4096
Phone
(406) 329-7870

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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