PROVIDENCE ST JOSEPH MEDICAL CENTER; NPI #1609104165

Contact Information

PROVIDENCE ST JOSEPH MEDICAL CENTER

6 13TH AVE E
POLSON, MT 59860-5315

Phone: 406-883-5680
Fax: 406-883-8926
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for PROVIDENCE ST JOSEPH MEDICAL CENTER

NPI #	`1609104165`
LBN Legal business name	PROVIDENCE ST JOSEPH MEDICAL CENTER
Authorized official	DONALD ANDERSON - (ASSISTANT SECRETARY ENROLLMENTS)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	11/20/2009
Last updated	05/07/2025 - More than a year ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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