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Contact Information

ST JOSEPH ORTHOPEDIC AND SPORT
6 13TH AVE E
POLSON, MT59860-5315
 Phone: 406-883-5377
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for ST JOSEPH ORTHOPEDIC AND SPORT

NPI # 1639203920
LBN Legal business name ST JOSEPH ORTHOPEDIC AND SPORT
Authorized official JOHN GLUECKERT - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/16/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
MT License # 10617
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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