# PROVIDENCE ST JOSEPH MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PROVIDENCE HEALTH & SERVICES
- **Other names:** Prov St Joseph Med Ctr
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1548394836
- **Legal business name:** PROVIDENCE HEALTH & SERVICES
- **Authorized official:** MR. BRUCE WHITFIELD (CFO WESTERN MONTANA REGION)
- **Authorized official phone:** (406) 329-5868

## Contact information

- **Practice address:** 6 13TH AVE E, POLSON, MT 59860-5315
- **Practice address phone:** (406) 883-5377
- **Mailing address:** PO BOX 1010, POLSON, MT 59860-1010
- **Mailing address phone:** (406) 883-5377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/16/2007
- **Last updated:** 06/22/2011