# PROVIDENCE ST JOSEPH MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PROVIDENCE ST JOSEPH MEDICAL CENTER
- **Other names:** Prov St Joseph Med Ctr Ronan
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1730417452
- **Legal business name:** PROVIDENCE ST JOSEPH MEDICAL CENTER
- **Authorized official:** DONALD WAYNE ANDERSON (ASSISTANT SECRETARY OF ENROLLMENTS)
- **Authorized official phone:** (425) 358-9786

## Contact information

- **Practice address:** 63351 US HIGHWAY 93 S, RONAN, MT 59864-2702
- **Practice address phone:** (406) 676-5680
- **Practice address fax:** (406) 676-5690
- **Mailing address:** PO BOX 31001-4110, PASADENA, CA 91110-4110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/19/2009
- **Last updated:** 04/05/2025