Organization
PROVIDENCE ST JOSEPH MEDICAL CENTER
Active
Parent organization
PROVIDENCE HEALTH & SERVICES
Other names
Prov St Joseph Med Ctr Polson
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE HEALTH & SERVICES
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
6 13TH AVE E, POLSON, MT 59860-5315
(406) 883-5680
(406) 883-8926
Mailing address
PO BOX 31001-4110, PASADENA, CA 91110-4110
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/20/2009
Last updated
05/07/2025
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