Organization
PROVIDENCE HEALTH & SERVICES MT
Active
Parent organization
PROVIDENCE HEALTH & SERVICES
Other names
Providence St Patrick Hospital, St Patrick Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE HEALTH & SERVICES
Authorized official
MR. DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
500 W BROADWAY ST, MISSOULA, MT 59802-4008
(406) 543-7271
Mailing address
PO BOX 31001-4110, PASADENA, CA 91110-4110
(406) 543-7271
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
10606
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4100162
—
MT
Enumeration date
07/27/2006
Last updated
05/06/2025
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