# ST JOSEPH HOSPITAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Western Montana Medical Clinic-Polson
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811016652
- **Authorized official:** HEIDI K WEBBER (PRACTICE MANAGER)
- **Authorized official phone:** (406) 883-8913

## Contact information

- **Practice address:** 6 13TH AVE E, POLSON, MT 59860-5315
- **Practice address phone:** (406) 883-8933
- **Practice address fax:** (406) 883-8254
- **Mailing address:** PO BOX 1010, POLSON, MT 59860-1010
- **Mailing address phone:** (406) 883-8933
- **Mailing address fax:** (406) 883-8910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/29/2007
- **Last updated:** 06/17/2009